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How do you treat PSGN?
Treatment of PSGN focuses on managing hypertension and edema. Additionally, patients should receive penicillin (preferably penicillin G benzathine) to eradicate the nephritogenic strain. This will prevent spread of the strain to other people.
What causes PSGN?
PSGN is a kidney disease that can develop after infections caused by bacteria called group A Streptococcus (group A strep). These infections include: Strep throat. Scarlet fever.
What are the typical clinical changes of acute post infectious glomerulonephritis?
The most common presenting symptom is gross hematuria as it occurs in 30 to 50% of cases with acute PSGN; patients often describe their urine as smoky, tea-colored, cola-colored, or rusty. The hematuria can be described as postpharyngitic (hematuria seen after weeks of infection).
Which medications are used in the treatment of acute Poststreptococcal glomerulonephritis?
Medication Summary Administer antibiotics (penicillin or erythromycin) for 10 days to ensure eradication of the streptococcus if the disease is believed to be acute poststreptococcal glomerulonephritis and if risk of contamination is present.
How long does PSGN last?
How long could poststreptococcal glomerulonephritis last? Most children make a full recovery within a few weeks. The blood you can see in the wee is usually gone in 2 weeks. But, urine tests may still show blood in your child’s wee for up to 2 years.
Do drugs cause glomerulonephritis?
Drugs can cause inflammatory changes in the glomerulus, renal tubular cells, and the surrounding interstitium, leading to fibrosis and renal scarring. Glomerulonephritis is an inflammatory condition caused primarily by immune mechanisms and is often associated with proteinuria in the nephrotic range.
Is there a cure for glomerulonephritis?
Unfortunately, kidney disease cannot be cured. Treatments focus on slowing the progression of the disease and preventing complications. Treatment may include: Blood pressure medicines such as ACE (angiotensin-converting enzymes) inhibitors that protect blood flow into the kidneys.
What is the focus of management in treating acute glomerulonephritis?
Management and Treatment Changes to your diet so that you eat less protein, salt and potassium. Corticosteroids such as prednisone. Dialysis, which helps clean the blood, remove extra fluid and control blood pressure. Diuretics (water pills) to reduce swelling.
Can a viral infection cause glomerulonephritis?
Viral infections of the kidney, such as hepatitis B and hepatitis C, cause inflammation of the glomeruli and other kidney tissues. HIV . Infection with HIV , the virus that causes AIDS , can lead to glomerulonephritis and progressive kidney damage, even before the onset of AIDS .
What medications can cause glomerulonephritis?
Drugs Associated with Nephrotoxicity
| Drug class/drug(s) | Pathophysiologic mechanism of renal injury |
|---|---|
| Allopurinol (Zyloprim) | Acute interstitial nephritis |
| Gold therapy | Glomerulonephritis |
| Haloperidol (Haldol) | Rhabdomyolysis |
| Pamidronate (Aredia) | Glomerulonephritis |
What are the treatment options for glomerulonephritis?
How is glomerulonephritis treated?
- Changes to your diet so that you eat less protein, salt and potassium.
- Corticosteroids such as prednisone.
- Dialysis, which helps clean the blood, remove extra fluid and control blood pressure.
- Diuretics (water pills) to reduce swelling.