Post streptococcal acute glomerulonephritis secondary to sporadic Streptococcus equi infection
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- Thorley, A.M., Campbell, D., Moghal, N.E. et al. Pediatr Nephrol (2007) 22: 597. doi:10.1007/s00467-006-0364-3
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Streptococcus equi subspecies zooepidemicus infection is rare in humans, but a well-known cause of pyogenic disease in cows and horses. S. zooepidemicus uncommonly causes post-strep glomerulonephritis (PSGN) in humans via epidemic outbreaks. We present a sporadic case of post S. zooepidemicus glomerulonephritis in a child most probably contracted from a horse. The 14-year-old girl presented with the typical signs of PSGN, with S. equi zooepidemicus isolated from a blood culture, together with a low C3 and raised anti-DNAse B. This is the first known report of a sporadic case of PSGN in a child caused by this organism.