Simultaneous occurrence of acute poststreptococcal glomerulonephritis and acute rheumatic fever

The simultaneous occurrence of acute poststreptococcal glomerulonephritis and acute rheumatic fever is a rarity. We report here such an occurrence in a 9-year-old Saudi boy whose kidney biopsy showed diffuse exudative glomerulonephritis with subepithelial humps on electron microscopy in the presence of active rheumatic carditis.