What is the focus of the treatment of acute Poststreptococcal glomerulonephritis?
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Acute post streptococcal glomerulonephritis are caused by group A beta haemolytic streptococci and follow upper airway infections such as pharyngitis or tonsillitis, by 14 to 21 days and 3-6 weeks after skin infection especially in warmer climates . Show In recent decades the number of patients with post streptococcal glomerulonephritis has decreased considerably in the United States and Europe industrialized countries. In other parts of the world ,some developing communities. the incidence of post streptococcal glomerulonephritis has remained high. post streptococcal glomerulonephritis is one of the leading cause requiring hospital admissions in children , and it is also an important cause of acute renal failure in developing countries. Though deaths due to this disease are rare, it can cause serious complications such as hypertensive emergency, congestive cardiac failure, renal failure, encephalopathy and retinopathy . Acute post streptococcal glomerulonephritis can also progress to rapidly progressive glomerulonephritis which is defined as''a syndrome that progresses rapidly within a few weeks or months to renal failure and is accompanied by urinary findings of nephritis.'' The clinical concept of rapidly progressive glomerulonephritis includes various renal diseases that cause renal function to deteriorate over a subacute course. Necrotizing crescentic glomerulonephritis is often observed in histopathological findings . Acute post streptococcal glomerulonephritis was diagnosed in the presence of : features of acute nephritic syndrome. evidence of recent streptococcal infection. lower serum complement three levels. Anti streptolysin o titre >200 units/ml was considered as evidence of recent streptococcal infection During a kidney biopsy, your doctor uses a needle to remove a small sample of kidney tissue for lab testing. The biopsy needle is inserted through your skin and is often directed using the guidance of an imaging device, such as ultrasound. Glomerulonephritis may be identified with tests if you have an acute illness or during routine testing during a wellness visit or an appointment managing a chronic disease, such as diabetes. Tests to assess your kidney function and make a diagnosis of glomerulonephritis include:
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TreatmentTreatment of glomerulonephritis and your outcome depend on:
Some cases of acute glomerulonephritis, especially those that follow an infection with streptococcal bacteria, might improve on their own and require no treatment. If there's an underlying cause — such as high blood pressure, an infection or an autoimmune disease — treatment will be directed to the underlying cause. In general, the goal of treatment is to protect your kidneys from further damage and to preserve kidney function. Therapies for associated kidney failureKidney failure is the loss of 85% or more of kidney function. Acute kidney failure due to infection-related glomerulonephritis is treated with dialysis. Dialysis uses a device that works like an artificial, external kidney that filters your blood. End-stage kidney disease is chronic kidney disease that can only be managed by regular kidney dialysis or a kidney transplant. More Information
Request an Appointment at Mayo Clinic Clinical trialsExplore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Lifestyle and home remediesIf you have kidney disease, your doctor might recommend certain lifestyle changes:
Coping and supportLiving with a chronic illness can tax your emotional resources. If you have chronic glomerulonephritis or chronic kidney failure, you might benefit from joining a support group. A support group can provide both sympathetic listening and useful information. To find a support group, ask your doctor for a recommendation or contact the National Kidney Foundation to find the chapter nearest you. Preparing for your appointmentYou'll likely start by seeing your primary care provider. If lab tests reveal that you have kidney damage, you might be referred to a doctor who specializes in kidney problems (nephrologist). What you can doTo get ready for your appointment, ask if there's anything you need to do ahead of time, such as limit what you eat and drink. Then make a list of items you'll likely need to discuss with your health care provider:
Take a family member or friend along, if possible, to help you remember the information you're given. When you have follow-up appointments after a diagnosis of glomerulonephritis, you may want to ask the following questions:
By Mayo Clinic Staff Request an Appointment at Mayo Clinic Symptoms & causesDoctors & departments Feb. 26, 2022 Share on: FacebookTwitter Show references
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