Skip to main content
Log in

Changing perspectives in children hospitalized with poststreptococcal acute glomerulonephritis

  • Original Article
  • Published:
Pediatric Nephrology Aims and scope Submit manuscript

Abstract

Changing perspectives in 95 children with poststreptococcal acute glomerulonephritis (PSAGN) in our hospital between 1979 and 1988 are reported. Between 1961 and 1970 an average of 31±6.3 patients/year with PSAGN were treated and 70% had antecedent pyoderma. In the present study antecedent pharyngitis was observed in 59 children und pyoderma in 36. In comparison to the decade ending in 1970 our data show: (1) a marked decline in the prevalence of PSAGN (P=<0.0005), (2) a predominance of antecedent pharyngeal infection (P=0.044), (3) a decline in urban and an increase in rural patients with PSAGN (P=0.0483); and in the last decade: (1) a predominance of antecedent pharyngeal infection in children over 6 years of age (P=0.0009) and (2) a predominance of antecedent pyoderma in black children (P=0.0004).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bisno AL, Pearce IA, Wall HP, Moody MD, Stollerman GA (1970) Contrasting epidemiology of acute rheumatic fever and acute glomerulonephritis. Nature of the antecedent streptococcal infection. N Engl J Med 283:561–565

    Google Scholar 

  2. Roy S III, Pitcock JA, Etteldorf JN (1976) Prognosis of acute post-streptococcal glomerulonephritis in childhood: prospective study and review of the literature. Adv Pediatr 23:35–69

    Google Scholar 

  3. Land MA, Bisno AL (1983) Acute rheumatic fever: a vanishing disease in suburbia. JAMA 249:895–898

    Google Scholar 

  4. Meadow SR (1975) Poststreptococcal nephritis-A rare disease? Arch Dis Child 50:379–382

    Google Scholar 

  5. Anthony BF, Kaplan EL, Chapman SS, Quie PG, Wannamaker LW (1967) Epidemic acute nephritis with reappearance of type-49 streptococcus. Lancet II:787–790

    Google Scholar 

  6. Roy S III, Wall HP, Etteldorf JN (1969) Second attacks of acute glomerulonephritis. J Pediatr 75:758–767

    Google Scholar 

  7. Schachner L, Taplin D, Scott GB, Morrison M (1983) A therapeutic update of superficial skin infections. Pediatr Clin North Am 30: 397–404

    Google Scholar 

  8. McLinn S. (1988) Tropical mupirocin vs. systemic erythromycin treatment for pyoderma. Pediatr Infect Dis J 7:785–790

    Google Scholar 

  9. Coskey RJ, Coskey LA (1987) Diagnosis and treatment of impetigo. J Am Acad Dermatol 17:62–63

    Google Scholar 

  10. Reinstein CR (1955) Epidemic nephritis at Red Lake, Minnesota. J Pediatr 47:25–33

    Google Scholar 

  11. Tunnesen WW (1983) Cutaneous infection. Pediatr Clin North Am 30, 515–532

    Google Scholar 

  12. Peter G, Smith AL (1977) Group A streptococcal infections of the skin and pharynx (part I). N Engl J Med 297:311–317

    Google Scholar 

  13. Wyatt RJ, Forristal J, West CD, Suginoto S, Cind JG (1988) Complement profiles in acute post-streptococcal glomerulonephritis. Pediatr Nephrol 2:219–223

    Google Scholar 

  14. Margolis HS, Lum MKW, Bender TR, Elliot SL, Fitzgerald M, Harpster AP (1980) Acute glomerulonephritis and streptococcal skin lesions in Eskimo children. Am J Dis Child 134:681–685

    Google Scholar 

  15. Potter EV, Svartman M, Mohammed I, Cox R, Poon-King T (1978) Tropical acute rheumatic fever and associated streptococcal infections compared with concurrent acute glomerulonephritis. J Pediatr 92:325–333

    Google Scholar 

  16. Rodriquez-Iturbe B, Gastillo L, Valbuena R, Cuenca L (1979) Acute poststreptococcal glomerulonephritis. A review of recent developments Paediatrician 8:307–324

    Google Scholar 

  17. Hosier DM, Craenen JM, Teske DW, Wheller JJ (1987) Resurgence of acute rheumatic fever. Am J Dis Child 141:730–733

    Google Scholar 

  18. Veasey LG, Wiedmeier SE, Orsmond GS, Ruttenberg HD, Boricek MM, Roth SJ, Tait VF, Thompson JA, Daly JA, Kaplan EL, Hill HR (1987) Resurgence of acute rheumatic fever in the intermountain area of the United States. N Engl J Med 316:421–427

    Google Scholar 

  19. Wald ER, Dashefsky B, Feidt C, Chiponis D, Byers C (1987) Acute rheumatic fever in western Pennsylvania and the tristate area. Pediatrics 80:371–374

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Roy, S., Stapleton, F.B. Changing perspectives in children hospitalized with poststreptococcal acute glomerulonephritis. Pediatr Nephrol 4, 585–588 (1990). https://doi.org/10.1007/BF00858626

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00858626

Key words

Navigation