Which patient groups are at highest risk for acute poststreptococcal glomerulonephritis (APSGN)?

Updated: Dec 05, 2018
  • Author: Rajendra Bhimma, MBChB, MD, PhD, DCH (SA), FCP(Paeds)(SA), MMed(Natal); Chief Editor: Craig B Langman, MD  more...
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Answer

onsider the possibility of acute poststreptococcal glomerulonephritis in children with symptoms that may be secondary to hypertension or congestive heart failure, even in the absence of visible hematuria or a history of a preceding streptococcal infection. A urinalysis is helpful, as microscopic hematuria is typically present in children with acute poststreptococcal glomerulonephritis.  The disease is most common in children 4-12 years of age and rare before 2 years of age or in those individuals older than 18 years. The latency period from infection may vary from 1 to 2 weeks after pharyngitis to 3 to 6 weeks after skin infections.


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