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Published on: February 10, 2026
[Acute postinfectious glomerulonephritis]
Benyounès Ramdani1, Mohamed Zamd, Khadija Hachim
1Service de Néphrologie Hémodialyse, Centre Hospitalier Ibn-Rochd, Casablanca, Maroc. benyounsramdani@gmail.com
Acute postinfectious glomerulonephritis, often caused by Streptococcus, involves kidney inflammation. While uncommon in adults and declining, early infection treatment and hygiene can prevent this condition.
Area of Science:
- Nephrology
- Immunology
- Infectious Diseases
Context:
- Acute postinfectious glomerulonephritis (APIGN) is an inflammatory kidney condition.
- Its incidence is unclear due to frequent subclinical cases.
- Beta-hemolytic Streptococcus group A is the most common causative agent.
Purpose:
- To define acute postinfectious glomerulonephritis.
- To outline its pathogenesis, clinical presentation, and epidemiology.
- To discuss treatment and prevention strategies.
Summary:
- APIGN results from an acute, nonsuppurative inflammatory insult primarily affecting the glomeruli.
- Humoral immunity and complement activation (alternative and lectin pathways) are key to kidney damage.
- The classic presentation includes acute nephritic syndrome following a streptococcal infection, though it's uncommon in adults and declining in developed nations.
Impact:
- Highlights the role of humoral immunity and complement pathways in APIGN pathogenesis.
- Emphasizes symptomatic treatment and preventive measures like hygiene and prompt infection management.
- Underscores the declining incidence and rarity in adults, suggesting improved public health measures.
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