Skip to main content

Advertisement

Log in

Co-occurrence of poststreptococcal reactive arthritis and acute glomerulonephritis

  • Case Report
  • Published:
Modern Rheumatology

Abstract

We report a 16-year-old patient who developed concurrent poststreptococcal reactive arthritis and acute glomerulonephritis. A high titer of antistreptolysin O antibody confirmed the preceding streptococcal infection. The patient presented with symmetric persistent tenosynovitis of hands and feet. Renal biopsy showed typical findings of acute glomerulonephritis with crescent formation. Physicians who treat patients with arthritis of acute onset, especially after throat infection, should be aware of possible urinary abnormalities or renal dysfunction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Iglesias-Gamarra A, Mendez EA, Cuellar ML, Ponce de Leon JH, Jimenez C, Canãs C, et al. Poststreptococcal reactive arthritis in adults: long-term follow-up. Am J Med Sci. 2001;321:173–7.

    Article  PubMed  CAS  Google Scholar 

  2. Gutiérrez-Ureña S, Molina J, Molina JF, García CO, Cuéllar ML, Espinoza LR. Poststreptococcal reactive arthritis, clinical course, and outcome in 6 adult patients. J Rheumatol. 1995;22:1710–3.

    PubMed  Google Scholar 

  3. Shulman ST, Ayoub EM. Poststreptococcal reactive arthritis. Curr Opin Rheumatol. 2002;14:562–5.

    Article  PubMed  Google Scholar 

  4. Moon RY, Greene MG, Rehe GT, Katona IM. Poststreptococcal reactive arthritis in children: a potential predecessor of rheumatic heart disease. J Rheumatol. 1995;22:529–32.

    PubMed  CAS  Google Scholar 

  5. Ahmed S, Ayoub EM, Scornik JC, Wang C-Y, She J-X. Poststreptococcal reactive arthritis. Clinical characteristics and association with HLA-DR alleles. Arthritis Rheum. 1998;41:1096–102.

    CAS  Google Scholar 

  6. Richards J. Acute post-streptococcal glomerulonephritis. W V Med J. 1991;87:61–5.

    PubMed  CAS  Google Scholar 

  7. Niewold TB, Ghosh AK. Post-streptococcal reactive arthritis and glomerulonephritis in an adult. Clin Rheumatol. 2003;22:350–2.

    Google Scholar 

  8. Mackie SL, Keat A. Poststreptococcal reactive arthritis: what is it and how do we know? Rheumatology. 2004;43:949–54.

    Article  PubMed  CAS  Google Scholar 

  9. Rodríguez-Iturbe B, Batsford S. Pathogenesis of poststreptococcal glomerulonephritis a century after Clemens von Pirquet. Kidney Int. 2007;71:1094–104.

    Article  PubMed  Google Scholar 

  10. Kaplan EL, Anthony BF, Chapman SS. Wannamaker LW: Epidemic acute glomerulonephritis associated with type 49 streptococcal pyoderma. I. Clinical and laboratory findings. Am J Med. 1970;48:9–27.

    Article  PubMed  CAS  Google Scholar 

  11. Silva FG. Acute postinfectious glomerulonephritis and glomerulonephritis complicating persistent bacterial infection. In: Jennette JC, Olson JL, Schwartz MM, Silva FG, editors. Heptinstall’s pathology of the kidney. Philadelphia: Lippincott-Raven; 1998. p. 389–453.

    Google Scholar 

  12. Pinto SW, Sesso R, Vasconcelos E, Watanabe YJ, Pansute AM. Follow-up of patients with epidemic poststreptococcal glomerulonephritis. Am J Kidney Dis. 2001;38:249–55.

    Article  PubMed  CAS  Google Scholar 

  13. Lien JW, Mathew TH, Meadows R. Acute post-streptococcal glomerulonephritis in adults: a long-term study. Q J Med. 1979;48:99–111.

    PubMed  CAS  Google Scholar 

Download references

Conflict of interest

The authors declare no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yoshitaka Morita.

About this article

Cite this article

Tokura, T., Morita, Y., Yorimitsu, D. et al. Co-occurrence of poststreptococcal reactive arthritis and acute glomerulonephritis. Mod Rheumatol 18, 526–528 (2008). https://doi.org/10.1007/s10165-008-0095-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10165-008-0095-3

Keywords

Navigation