SEORANG PENDERITA SINDROM NEFRITIK AKUT PASCA INFEKSI STREPTOKOKUS

Abstract

Acute nephritic syndrome is classically de! ned by symptoms of oliguria, oedem, hypertension and also urinalysis
abnormality such as proteinuria less than 2 grams/day, hematuria, or ! nding of erytrocite silinder in the urine. The etiology of
acute nephritic syndrome are disorders of primary glomerulopathy (idiopathic), glomerulopathy after infection, Disseminated
Lupus Erythomatosus (DLE), vasculitis and hereditary nephritis (Alport syndrome). Acute nephritic syndrome is one of clinical
manifestation of acute glomerulonephritis after streptococcal infection, which is in" lamation occur on tubulus and glomerular
of the kidney, after streptococcal infection of skin or upper respratory tract. The most frequent cause by particular strain of
hemolyticus streptococcus ß group A type 12. Herewith, we reported a case of acute glomerulonephritis after streptococcal
infection with clinical manifestation acute neph! tic syndrome. A fourteen years old Balinese male patient found with anasarca
oedem, oliguria and hematuria. Previous medical history with infection of throat 2 weeks before admitted to hospital. On physical
examination, we found with Stage II hypertension, laboratory data shown urinalysis: hematuria and proteinuria, protein esbach
3.25 gram/liter/day, ASTO 200 IU/ml, ANA test negative and throat swab isolated Streptococcus viridans, alpha hemoliticus.
Imaging data showed right pleural effusion and bilateral nephritis of the kidney. Patient gives a good respon to corticosteroid
(metilprednisolone), diuretic and also ACE inhibitor