要看肾脏专科,听起来像post-strep Glomerulonephritis。大多数会自愈,但是也要谨慎

来源: weiwuwei 2019-10-21 12:19:22 [] [旧帖] [给我悄悄话] 本文已被阅读: 次 (6181 bytes)

PSGN is a kidney disease that can develop after infections caused by bacteria called group A Streptococcus (group A strep). These infections include throat and skin infections like strep throatscarlet fever, and impetigo.It usually takes about 10 days after the start of symptoms of strep throat or scarlet fever for PSGN to develop. 

 

 

Warning Signs Usually Point to Kidney Issues

Symptoms of PSGN can include:

  • Dark, reddish-brown urine
  • Swelling (edema), especially in the face, around the eyes, and in the hands and feet
  • Decreased need to pee or decreased amount of urine
  • Feeling tired due to low iron levels in the blood (fatigue due to mild anemia)

In addition, someone with PSGN usually has:

  • Protein in the urine
  • High blood pressure (hypertension)

Treatment Focuses on Managing Swelling, Blood Pressure

Treatment of PSGN focuses on managing symptoms as needed:

  • Decreasing swelling (edema) by limiting salt and water intake or by prescribing a medication that increases the flow of urine (diuretic)
  • Managing high blood pressure (hypertension) through blood pressure medication

People with PSGN who may still have group A strep in their throat are often provided antibiotics, preferably penicillin.

Serious Complications Include Long-term Kidney Damage

Most people who develop PSGN recover within a few weeks without any complications. While rare, long-term kidney damage, including kidney failure, can occur. These rare complications are more common in adults than children.

所有跟帖: 

一周前做尿检时也做过strep test, negative. 当时喉咙有点红但不痛,这样可以rule out吗? -若拙- 给 若拙 发送悄悄话 (0 bytes) () 10/21/2019 postreply 14:07:54

那个是查strep b -julie116- 给 julie116 发送悄悄话 julie116 的博客首页 (0 bytes) () 10/21/2019 postreply 19:33:31

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