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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Main Authors: Vuletić Biljana, Stojković Anđelka, Igrutinović Zoran, Stanković Lidija, Medović Raša, Dajić Katerina, Stojković Tanja, Janković Marijana, Janković Sveta, Vujić Ana
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2017-01-01
Series:Vojnosanitetski Pregled
Subjects:
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.
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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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