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Acute post-streptococcal glomerulonephritis without proteinuria.

D H Hart, C Scheinkestel, J A Whitworth

Journal of the Royal Society of Medicine

|October 1, 1985

Summary

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Acute post-streptococcal glomerulonephritis can present atypically. Two cases showed congestive cardiac failure without hypertension or proteinuria, challenging typical presentations.

Area of Science:

Nephrology
Cardiology
Pediatrics

Background:

Acute post-streptococcal glomerulonephritis (APSGN) is a common post-infectious kidney disease.
Typical presentations involve hypertension, edema, and proteinuria.

Observation:

Two pediatric cases of histologically confirmed APSGN are presented.
Both cases manifested primarily as congestive cardiac failure.
Notably, neither patient exhibited hypertension or significant proteinuria.

Findings:

This atypical presentation highlights a rare but possible clinical course of APSGN.
The absence of typical urinary findings and presence of cardiac symptoms were key features.

Implications:

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Clinicians should consider APSGN in children with unexplained congestive cardiac failure, even without typical renal signs.

Early recognition and management are crucial to prevent cardiac complications.