Pneumococcal meningitis associated with glomerulonephritis: A case report
Introduction. Streptococcus pneumoniae is the second most common cause of meningitis in children, producing more serious complications than other bacteria. Streptococcus pneumoniae infections are a rare trigger of glomerulonephritis. We presented a case of glomerulonephritis developing concurrently...
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Military Health Department, Ministry of Defance, Serbia
2017-01-01
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Series: | Vojnosanitetski Pregled |
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Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600252V.pdf |
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author | Vuletić Biljana Stojković Anđelka Igrutinović Zoran Stanković Lidija Medović Raša Dajić Katerina Stojković Tanja Janković Marijana Janković Sveta Vujić Ana |
author_facet | Vuletić Biljana Stojković Anđelka Igrutinović Zoran Stanković Lidija Medović Raša Dajić Katerina Stojković Tanja Janković Marijana Janković Sveta Vujić Ana |
author_sort | Vuletić Biljana |
collection | DOAJ |
description | Introduction. Streptococcus pneumoniae is the second most common cause of meningitis in children, producing more serious complications than other bacteria. Streptococcus pneumoniae infections are a rare trigger of glomerulonephritis. We presented a case of glomerulonephritis developing concurrently with meningitis in a young male child. Case report. Gross haematuria, significant proteinuria, hypertension and decreased level of C3 alongside the signs of central nervous system involvement occurred in a male patient of 5 years and 3 months of age. Spontaneous resolution of renal affliction parameters followed the successful treatment of meningitis. The disease course was strongly suggestive of postinfectious glomerulonephritis, although it manifested at the same time as meningitis. The absence of the latent period might point to the development of IgA nephropathy, but since the renal function was stable, without any abnormalities in urine tests documented during follow-up, our opinion is that this was rather the case of postinfectious nephropathy. Conclusion. The presented case is a unique clinical form of postinfectious glomerulonephritis. An accurate diagnosis of this entity should ensure the adequate treatment and follow-up of these patients. |
first_indexed | 2024-12-23T05:52:40Z |
format | Article |
id | doaj.art-e477278acdd84407af2bce698eb5b3aa |
institution | Directory Open Access Journal |
issn | 0042-8450 2406-0720 |
language | English |
last_indexed | 2024-12-23T05:52:40Z |
publishDate | 2017-01-01 |
publisher | Military Health Department, Ministry of Defance, Serbia |
record_format | Article |
series | Vojnosanitetski Pregled |
spelling | doaj.art-e477278acdd84407af2bce698eb5b3aa2022-12-21T17:57:55ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202017-01-0174769369810.2298/VSP150819252V0042-84501600252VPneumococcal meningitis associated with glomerulonephritis: A case reportVuletić Biljana0Stojković Anđelka1Igrutinović Zoran2Stanković Lidija3Medović Raša4Dajić Katerina5Stojković Tanja6Janković Marijana7Janković Sveta8Vujić Ana9Clinical Center Kragujevac, Pediatrics Clinic, Kragujevac + Faculty of medical sciences, KragujevacClinical Center Kragujevac, Pediatrics Clinic, Kragujevac + Faculty of medical sciences, KragujevacClinical Center Kragujevac, Pediatrics Clinic, Kragujevac + Faculty of medical sciences, KragujevacClinical Center Kragujevac, Pediatrics Clinic, KragujevacClinical Center Kragujevac, Pediatrics Clinic, KragujevacFaculty of Medical Sciences, KragujevacClinical Center Kragujevac, Pediatrics Clinic, KragujevacFaculty of Medical Sciences, KragujevacClinical Center Kragujevac, Pediatrics Clinic, KragujevacClinical Center Kragujevac, Pediatrics Clinic, Kragujevac + Faculty of medical sciences, KragujevacIntroduction. Streptococcus pneumoniae is the second most common cause of meningitis in children, producing more serious complications than other bacteria. Streptococcus pneumoniae infections are a rare trigger of glomerulonephritis. We presented a case of glomerulonephritis developing concurrently with meningitis in a young male child. Case report. Gross haematuria, significant proteinuria, hypertension and decreased level of C3 alongside the signs of central nervous system involvement occurred in a male patient of 5 years and 3 months of age. Spontaneous resolution of renal affliction parameters followed the successful treatment of meningitis. The disease course was strongly suggestive of postinfectious glomerulonephritis, although it manifested at the same time as meningitis. The absence of the latent period might point to the development of IgA nephropathy, but since the renal function was stable, without any abnormalities in urine tests documented during follow-up, our opinion is that this was rather the case of postinfectious nephropathy. Conclusion. The presented case is a unique clinical form of postinfectious glomerulonephritis. An accurate diagnosis of this entity should ensure the adequate treatment and follow-up of these patients.http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600252V.pdfpneumococcal infectionsstreptococcus pneumoniaechildmeningitisglomerulonephritisdiagnosis |
spellingShingle | Vuletić Biljana Stojković Anđelka Igrutinović Zoran Stanković Lidija Medović Raša Dajić Katerina Stojković Tanja Janković Marijana Janković Sveta Vujić Ana Pneumococcal meningitis associated with glomerulonephritis: A case report Vojnosanitetski Pregled pneumococcal infections streptococcus pneumoniae child meningitis glomerulonephritis diagnosis |
title | Pneumococcal meningitis associated with glomerulonephritis: A case report |
title_full | Pneumococcal meningitis associated with glomerulonephritis: A case report |
title_fullStr | Pneumococcal meningitis associated with glomerulonephritis: A case report |
title_full_unstemmed | Pneumococcal meningitis associated with glomerulonephritis: A case report |
title_short | Pneumococcal meningitis associated with glomerulonephritis: A case report |
title_sort | pneumococcal meningitis associated with glomerulonephritis a case report |
topic | pneumococcal infections streptococcus pneumoniae child meningitis glomerulonephritis diagnosis |
url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600252V.pdf |
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