Case Report

Co-occurrence of poststreptococcal reactive arthritis and acute glomerulonephritis

Authors

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

1. 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