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Glomerulonephritis, Postinfectious

Theodore B. Flaum, DO and Ian Paul Persits, D.O., M.S. Reviewed 06/2022
 


BASICS

DESCRIPTION

Postinfectious glomerulonephritis (PIGN) is an immune complex disease associated with nonrenal infection by certain strains of bacteria, most commonly Streptococcus and Staphylococcu...

DIAGNOSIS

HISTORY

  • Usually history of antecedent GAS skin/throat infection

  • Patients present with acute nephritic syndrome, characterized by sudden onset of hematuria associated with edema and HTN for 1 t...

TREATMENT

MEDICATION

  • No specific therapy exists for PIGN, and no randomized controlled trials indicate that aggressive immunosuppressive therapy has a beneficial effect in patients with rapidly progres...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Repeat urinalysis to check for clearance of hematuria and/or proteinuria.

  • Consider other diagnosis if no improvement within 2 weeks.

DIET

Renal die...

REFERENCES

1
Hunt EAK, Somers MJG. Infection-Related Glomerulonephritis. Pediatr Clin North Am. 2019;66(1):59-72.  
2
Nasr SH, Radhakrishnan J, D’Agati VD. Bacterial infection-related glomerulonephritis ...

ADDITIONAL READING

Balasubramanian R, Marks SD. Post-infectious glomerulonephritis. Paediatr Int Child Health. 2017;37(4):240-247.  

CODES

ICD10

  • N05.9 Unsp nephritic syndrome with unspecified morphologic changes

  • N00.9 Acute nephritic syndrome with unsp morphologic changes

SNOMED

  • 236395002 Post-infectious glomerulonephritis (disorder)

  • 68...

CLINICAL PEARLS

  • PIGN is an immune complex disease occurring after infection with certain strains of bacteria, most commonly group A Streptococcus pyogenes.

  • The clinical presentation can be asymptomatic...

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