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  • Title: Glomerulonephritis associated with acute pneumococcal pneumonia: a case report.
    Author: Phillips J, Palmer A, Baliga R.
    Journal: Pediatr Nephrol; 2005 Oct; 20(10):1494-5. PubMed ID: 16010595.
    Abstract:
    Streptococcus pyogenes is the most common cause of post-infectious glomerulonephritis. There have been isolated case reports of nephritis following infections with Streptococcus pneumoniae. We report here the case of a 6-year-old white female who presented with blood culture-confirmed pneumococcal pneumonia associated with glomerulonephritis. Her acute renal failure improved over several days, and renal function was normal by 8 weeks post-hospitalization. This case serves to reinforce the concept that other organisms besides Streptococcus pyogenes can trigger a similar post-infectious glomerulonephritis and should be considered in the differential diagnosis of any child who presents with acute glomerulonephritis and respiratory findings. Additionally, pneumococcus group 7 may be a nephritogenic strain and requires further investigation.
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