Common diagnosis at an unusual age - pulmonary oedema in a toddler

Simma, Leopold; Neuhaus, Thomas J.

doi:10.1136/bcr-2018-225389

Cited by 1 publication

(2 citation statements)

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“…Non-cardiogenic pulmonary edema can occur due to renal failure in patients with APSGN causing acute respiratory distress syndrome[ 22 ]. The management should focus on maintaining adequate oxygenation to the lung and treat the underlying cause[ 23 ].…”

Section: Sodium and Fluid Restriction And Pulmonary Edemamentioning

confidence: 99%

“…Patients who are compliant with Na + restriction will have self-limiting fluid restriction[ 21 ]. However, patients with severe edema may be treated with fluid restriction to two-thirds of maintenance or half or less of urine output once a brisk diuresis is achieved[ 21 , 22 ]. Patients who are on fluid restriction should have close monitoring of fluid input and output, serum electrolytes, and vital signs[ 21 ].…”

Section: Sodium and Fluid Restriction And Pulmonary Edemamentioning

confidence: 99%

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Management and outcomes of acute post-streptococcal glomerulonephritis in children

Ong¹

2022

World J Nephrol

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Acute post-streptococcal glomerulonephritis (APSGN) is the major cause of acute glomerulonephritis among children, especially in low- and middle-income countries. APSGN commonly occurs following pharyngitis due to the activation of antibodies and complements proteins against streptococcal antigens through the immune-complex-mediated mechanism. APSGN can be presented as acute nephritic syndrome, nephrotic syndrome, and rapidly progressive glomerulonephritis, or it may be subclinical. The management of APSGN is mainly supportive in nature with fluid restriction, anti-hypertensives, diuretics, and renal replacement therapy with dialysis, when necessary, as the disease is self-limiting. Congestive heart failure, pulmonary edema, and severe hypertension-induced encephalopathy might occur during the acute phase of APSGN due to hypervolemia. APSGN generally has a favorable prognosis with only a small percentage of patients with persistent urinary abnormalities, persistent hypertension, and chronic kidney disease after the acute episode of APSGN. Decreased complement levels, increased C-reactive protein, and hypoalbuminemia are associated with disease severity. Crescent formations on renal biopsy and renal insufficiency on presentation may be the predictors of disease severity and poor outcomes in APSGN in children.

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Section: Sodium and Fluid Restriction And Pulmonary Edemamentioning

confidence: 99%