Concurrent Acute Rheumatic Fever and Acute Poststreptococcal Glomerulonephritis: Case report
Mecnun Çetin1, Arife Uslu Gökçeoğlu2, Murat Başaranoğlu3, Kamuran Karaman41Department of Pediatric Cardiology, Van Yuzuncu Yil University, Van, Turkey 2Department of Pediatric Nephrology, Van İpekyolu State Hospital, Van, Turkey 3Department of Neonatology, Van Yuzuncu Yil University, Van, Turkey 4Department of Hematology, Van Yuzuncu Yil University, Van, Turkey
Acute poststreptococcal glomerulonephritis (APSGN) and acute rheumatic fever (ARF) are both postinfectious non-suppurative sequelae of group A beta hemolytic Streptococcus infections. Despite dramatic falls in the incidence, Acute Rheumatic Fever remains a major cause of morbidity and mortality associated with acquired heart disease in developing countries. APSGN still remains a frequent form of glomerulonephritis in third-world countries, particularly in areas where the disease occurs in epidemics. Both diseases have different epidemiology, immunology and bacteriology features and their concurrent development in the same patient is known, however, this is a rare condition. Here we present a case of a 6.5 year old child with concurrent APSGN and ARF.