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2014 ; 9
(4
): 818-28
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American Society of Nephrology clinical pathological conference
#MMPMID24651072
Meyers KE
; Liapis H
; Atta MG
Clin J Am Soc Nephrol
2014[Apr]; 9
(4
): 818-28
PMID24651072
show ga
A 13-year-old girl presented with proteinuria and acute kidney failure. She was
born at full term via cesarean delivery (due to nuchal cord), but there were no
other prenatal or perinatal complications. In early childhood the patient had two
hospitalizations at ages 4.5 and 9 years, respectively, the latter for pneumonia.
She had no history of symptoms of kidney disease. She came to the hospital at age
12 years for routine bilateral molar extractions. She was treated with oral
antibiotics and discharged after the procedure without complications. At age 13
years, 10 months after the molar extraction, she was seen by a pediatrician
because of puffiness and increased BP. She had had respiratory symptoms 2 weeks
before presentation. The pediatrician prescribed furosemide and amlodipine. A few
days later, the patient returned to the pediatrician's office because of hand,
ankle, and facial swelling and malaise. The pediatrician recommended
hospitalization and the patient was admitted at this time.
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