#Everyone pays attention to kidney health #A seemingly simple cold and cough, but hidden "crisis"!
The little baby is 5 years old this year, because of a cold and runny nose, his parents bought cold medicine at the pharmacy to take. Symptoms did not improve, accompanied by cough. Later, he was diagnosed with "acute tonsillitis" by the local health center and was given infusion and anti-inflammatory treatment. Symptoms such as colds and coughs are gradually alleviated, and the treatment effect is obvious.
About 2 weeks after the symptoms completely disappeared, the parents found that when the baby woke up in the morning, his eyelids were somewhat puffy and his lower limbs were suspected of edema. What is even more worrying is that the color of the baby's urine is actually like "blood water". This frightened his parents, who rushed to bring their children to the city for treatment.
Initial examination:
1. Urinary routine: red blood cells 4+; white blood cells +1; protein 3+; occult blood 3+;
2. Blood routine: white blood cells 13 * 10 ^ 9 / L; CRP121mg / L;
3. Blood pressure: 140/100;
4. Renal ultrasound: no abnormalities were seen in both kidneys.
Doctor's initial diagnosis: acute nephritis. Admitted to the hospital for treatment and further examinations are recommended.
Further investigation:
1. 24h urine protein quantification: 6.5g;
2. Pharyngeal bacterial culture: detection of β-hemolytic streptococcus;
3. Compensatory leave inspection: C3 and C4 of compensatory leave are mildly reduced;
4. Anti-"O" streptococcus: >500U;
5. Kidney function: urea, creatinine, etc. are normal.
Combining clinical symptoms and examination results, the final diagnosis: acute glomerulonephritis.
A seemingly simple cold and cough, but hidden "crisis"!
Acute glomerulonephritis is more common in men and children, and occurs most often after primary infections such as pharyngitis, tonsillitis, and skin (such as after streptococcal infections such as upper respiratory tract infections, scarlet fever, and skin infections).
Acute glomerulonephritis is a self-limiting disease, and the vast majority of patients resolve spontaneously or have a good prognosis after treatment. About 6% to 18% of patients still develop chronic or relapse.
Doctor tips: when there is pharyngitis, tonsillitis or skin infection in children, it is best to do bacterial examination of the relevant parts, not only to clarify the cause but also to guide the use of drugs; in addition, it is better to cooperate with anti-"O" streptococcus examination. If the child has eyelids, lower extremity edema or visible hematuria, it is necessary to seek medical attention in time to confirm the diagnosis and treat it as soon as possible.
For patients with a definitive diagnosis: bed rest, low-salt diet, infection control, and adherence to medical advice are the keys to an early and complete cure for acute glomerulonephritis! #Health Star Program ##健康2022 #
