The clinicopathology and outcome of post-infectious glomerulonephritis: experience in 36 adults

J Med Assoc Thai. 2006 Aug:89 Suppl 2:S157-62.

Abstract

Post-infectious glomerulonephritis is one of the most common causes of acute glomerulonephritis. A retrospective study of post-infectious glomerulonephritis at King Chulalongkorn Memorial Hospital, Thailand was performed from January 1999 to December 2005. Among thirty six patients, eight cases were post-streptococcal glomerulonephritis and twenty eight cases were post non-streptococcal Glomerulo Nephritis (GN). Most cases present with edema, hypertension, gross hematuria and nephrotic-range proteinuria. C3 and CH50 commonly were low. Post-streptococcal glomerulonephritis had more aggressive pathology compared to the others. However the long term outcome was excellent. In the present study the authors found ESRD in only 14.3% (4 out of 28 cases) that reflects the excellent prognosis of post-infectious glomerulonephritis. Of interest, all of the ESRD patients were caused by post non-Streptococcal GN. Even though, no statistic was achieved; it might reflect the aggressiveness of non-Streptococcal pathogen.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Glomerulonephritis / complications*
  • Glomerulonephritis / mortality
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Streptococcal Infections / drug therapy*
  • Streptococcal Infections / etiology*
  • Survival Rate
  • Thailand
  • Treatment Outcome