Glomerulonefritis aguda asociada a neumonía: revisión de 6 casos

Abstract

There is an association between acute glomerulonephritis and pneumonia, although it is very uncommon. The ASLOs in our series are not specific for Streptoccocus. pyogenes infection. The respiratory and renal prognosis was favourable in all cases.

Lobar Pneumonia and Glomerulonephritis: An Unusual Association

“…Hypocomplementemia occurs as a result of activation of alternative complement pathway and it was also a common finding in the series we had reviewed [2,3,5]. Hypocomplementemia was also observed in our patient and returned to normal after 12 weeks at follow up.…”

“…To our knowledge there are four published series for pediatric patients including 3, 11, 4 and 6 patients [2][3][4][5]. In all of these series glomerulonephritis developed soon after pneumonia; macroscopic hematuria developed after 24-72 hours of hospital admission [2,3,5], but in the study of Schachter [4], glomerulonephritis developed within six weeks after the infection. In our patient macroscopic hematuria was observed simultaneously with respiratory symptoms and GFR was decreased when she was diagnosed as pneumonia.…”

“…Although all of the patients were male in the study of Srivastava [3], this may be an incidental finding because there are female patients in the other studies and the number of the patients in all series are small to interpretar about this issue. Patients are generally under the age of ten and so was our patient and this may be related to the infectious agent causing pneumonia [2][3][4][5].…”

“…with pneumonia is rarely reported [2]. Although more commonly seen in adults there are also four small series and few reported cases with pneumonia in the pediatric literature [2][3][4][5][6][7][8]. While APIGN typically occurs between 7-14 days after an infection, glomerulonephritis associated with pneumonia usually develops concurrent with pneumonia [3].…”

Glomerulonefritis post infecciosa en Pediatría: estudio epidemiológico basado en una población hospitalaria

“…Otra explicación podría ser, que estos pacientes hayan cursado una GNPI poco sintomática que se haya agravado con la infección neumocócica. Los pacientes con GNPI que cursan con neumonía suelen tener un buen pronóstico, tanto pulmonar (20,21) como renal a corto plazo . Las formas no estreptocócicas son esporádicas, y la nefropatía es (22) simultánea al proceso infeccioso .…”