Acute Poststreptococcal Glomerulonephritis(APSGN) in Children at Chachoengsao Hospital - โรคไตอักเสบเฉียบพลันจากเชื้อเสตปโตคอกคัสในเด็ก ที่โรงพยาบาลเมืองฉะเชิงเทรา

Abstract

                  Acute poststreptococcal glomerulonephritis (APSGN) is the most common glomerular disease in children. The objective of this retrospective descriptive study was to study the clinical manifestations, laboratory investigations, treatment outcomes and complications of pediatric patients with APSGN in Chachoengsao hospital during January 1, 2003 - December 31, 2007.Descriptive statistics were used in data analyses. There were 67 patients, of which 40 were boys. The peak incidence was in the rainy season (June - August). Edema was the most common clinical manifestation (97.01%). Laboratory findings were microscopic hematuria (100%) and proteinuria (77.61%). Eight patients had complications of which congestive heart failure was the most common (7.46%). Hypertensive encephalopathy was found in 4.48 percent. Despite of the good prognosis, early diagnosis and appropriate management are critical.
Key words: acute poststreptococcal glomerulonephritis, children, congestive heart failure, edema