Vol.18 No.5

Case Report

Co-occurrence of poststreptococcal reactive arthritis and acute glomerulonephritis

Authors

Takehiko Tokura1 , Yoshitaka Morita1 , Daisuke Yorimitsu1 , Hideyuki Horike1 , Tamaki Sasaki1 , Naoki Kashihara1

  • Division of Nephrology and Rheumatology, Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan
Received:

25 March 2008

Accepted:

18 April 2008

Published online:

12 June 2008

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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.

Key words

Glomerulonephritis - Reactive arthritis - Streptococcal infection - Tenosynovitis