Post‐streptococcal glomerulonephritis in Sydney: A 16‐year retrospective review

Abstract

Significant differences are seen in a low-incidence urban Australian population with PSGN when compared with endemic or epidemic disease in high-risk populations. The higher rates of complications that were seen compared with previously studied populations need further clarification.

Acute post-streptococcal glomerulonephritis in children of French Polynesia: a 3-year retrospective study

“…Even though it is not rare not to find any previous infection to explain the APSGN [24,25], in our study 26% (13/50) of the children had no skin or respiratory infection before the illness. The same proportions were observed by Blyth et al in an Australian cohort [26].…”

“…In five children (10%), the only sign was microscopic haematuria, and five other children were asymptomatic. More severe clinical presentations (congestive cardiac failure, severe arterial hypertension, and/or encephalopathy) were observed in the same proportions as in other endemic areas [14,26]. The level of the C3 fraction of complement was lower in these severe clinical presentations (0.2±0.1 vs. 0.4±0.4 g/l in non-severe forms, p=0.02), but not in patients with initial renal failure (Table 3).…”

“…The level of the C3 fraction of complement was lower in these severe clinical presentations (0.2±0.1 vs. 0.4±0.4 g/l in non-severe forms, p=0.02), but not in patients with initial renal failure (Table 3). Blyth et al also found that the C3 level had no effect on the initial plasma creatinine levels [26]. C-reactive protein, proteinuria and macroscopic haematuria did not correlate with clinical severe forms or with initial renal failure, as has also been reported in the literature [30,31].…”

Acute Post-Streptococcal Glomerulonephritis in the Northern Territory of Australia: A Review of 16 Years Data and Comparison with the Literature

“…8 In contrast, in tropical northern Australia APSGN is far more common and outbreaks have previously been reported in Aboriginal communities. 9,10 In the Northern Territory (NT), which comprises a semi-arid central Australian region and a tropical northern region, sporadic cases occur each year but also larger outbreaks in the northern region are documented by public health authorities around every 5-7 years.…”

A rare adult case of poststreptococcal acute glomerulonephritis with a retropharyngeal abscess

“…It results from an antecedent infection of the skin (pyoderma) or throat (pharyngitis, tonsillitis) caused by nephritogenic strains of group A betahemolytic streptococci and follows throat infection with group A streptococci M protein types 1, 2, 3, 4, 12, 25, and 49 and pyoderma with streptococci M types 2, 47, 49, 55, 57, and 60 [1][2][3][4]. The overall risk of developing PSAGN after infection by these nephritogenic strains is about 15%.…”