E-ISSN 2534-9821
 

Case Report 


Diagnostic problems in a patient with nephritic syndrome

I Gusti Putu Hery Sikesa, Jodi Sidharta Loekman.

Abstract
Acute nephritic syndrome is a collection of clinical symptoms due to a sudden decrease in glomerular filtration rate (GFR) accompanied by water and salt retention, positive erythrocytes, erythrocytes cast and albumin in urinalysis. Information about nephritic syndrome is important to know for accurate diagnose and treatment. A 13-year-old adolescent with nephritic syndrome has been reported with rapid progressive glomerulonephritis (RPGN). He has been treated with corticosteroid, antibiotic, immunosuppressant, antihypertensives, and diuretic followed by improvement of clinical condition and laboratory of the patient. Biopsy was done for definitive diagnosis. The biopsy results showed a picture of IgA nephropathy (IgAN) and resolving stage of acute poststreptococcal glomerulonephritis (APSGN). Acute poststreptococcal glomerulonephritis (APSGN) was suspected due to finding of apparent hematuria, swollen and acute renal failure after streptococcal infection. To support the diagnosis, evidence of laboratory streptococcal infections and low levels of C3 complement are needed. Whereas IgAN known by examining the IgA serum. Management of patients were including supportive and symptomatic therapy. Giving corticosteroids or cytotoxic agents is needed for RPGN therapy. The prognosis is generally good, with improvement more than 90% of cases. Long-term observation is needed to observe the possibility of the disease being chronic. In this case, the symptoms and results of the laboratory examination were in accordance with the results of the biopsy, namely IgAN and resolving APSGN. Immediate and proper management provides an improvement in general and laboratory conditions.

Key words: acute poststreptococcal glomerulonephritis, IgA Nephropathy, Nephritic Syndrome


 
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Pubmed Style

Sikesa IGPH, Loekman JS. Diagnostic problems in a patient with nephritic syndrome. Int J Med Rev Case Rep. 2020; 4(5): 62-65. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics


Web Style

Sikesa IGPH, Loekman JS. Diagnostic problems in a patient with nephritic syndrome. http://www.mdpub.net/?mno=71553 [Access: July 02, 2020]. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics


AMA (American Medical Association) Style

Sikesa IGPH, Loekman JS. Diagnostic problems in a patient with nephritic syndrome. Int J Med Rev Case Rep. 2020; 4(5): 62-65. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics



Vancouver/ICMJE Style

Sikesa IGPH, Loekman JS. Diagnostic problems in a patient with nephritic syndrome. Int J Med Rev Case Rep. (2020), [cited July 02, 2020]; 4(5): 62-65. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics



Harvard Style

Sikesa, I. G. P. H. & Loekman, . J. S. (2020) Diagnostic problems in a patient with nephritic syndrome. Int J Med Rev Case Rep, 4 (5), 62-65. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics



Turabian Style

Sikesa, I Gusti Putu Hery, and Jodi Sidharta Loekman. 2020. Diagnostic problems in a patient with nephritic syndrome. International Journal of Medical Reviews and Case Reports, 4 (5), 62-65. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics



Chicago Style

Sikesa, I Gusti Putu Hery, and Jodi Sidharta Loekman. "Diagnostic problems in a patient with nephritic syndrome." International Journal of Medical Reviews and Case Reports 4 (2020), 62-65. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics



MLA (The Modern Language Association) Style

Sikesa, I Gusti Putu Hery, and Jodi Sidharta Loekman. "Diagnostic problems in a patient with nephritic syndrome." International Journal of Medical Reviews and Case Reports 4.5 (2020), 62-65. Print. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics



APA (American Psychological Association) Style

Sikesa, I. G. P. H. & Loekman, . J. S. (2020) Diagnostic problems in a patient with nephritic syndrome. International Journal of Medical Reviews and Case Reports, 4 (5), 62-65. doi:10.5455/IJMRCR.nephritis-syndrome-diagnostics