A case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci
A middle-aged patient of Greenlandic origin was referred for skin infection of the leg. An initial minor trauma of the skin of the distal right lower extremity was complicated by bullous erysipelas which cultured positive for group A β-hemolytic streptococci (GABHS). The clinical condition deteriora...
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ftdoajarticles:oai:doaj.org/article:04b9f27daae3458dbb1d73c63a6a5fb1 2023-05-15T16:31:11+02:00 A case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci Carsten Sauer Mikkelsen Allan Gelvan Ahmad Ibrahim Karin Ladefoged 2010-01-01T00:00:00Z https://doi.org/10.4081/dr.2009.e4 https://doaj.org/article/04b9f27daae3458dbb1d73c63a6a5fb1 EN eng PAGEPress Publications http://www.pagepress.org/journals/index.php/dr/article/view/1494 https://doaj.org/toc/2036-7392 https://doaj.org/toc/2036-7406 2036-7392 2036-7406 doi:10.4081/dr.2009.e4 https://doaj.org/article/04b9f27daae3458dbb1d73c63a6a5fb1 Dermatology Reports, Vol 1, Iss 1, Pp e4-e4 (2010) Rheumatic fever APSGN nephrotic syndrome Dermatology RL1-803 article 2010 ftdoajarticles https://doi.org/10.4081/dr.2009.e4 2022-12-31T01:45:38Z A middle-aged patient of Greenlandic origin was referred for skin infection of the leg. An initial minor trauma of the skin of the distal right lower extremity was complicated by bullous erysipelas which cultured positive for group A β-hemolytic streptococci (GABHS). The clinical condition deteriorated and necrotizing fasciitis developed despite relevant surgical and antibiotic treatment. Approximately 3 weeks later, the patient developed arthralgia, impaired renal function with azotemia, hypertension and severe nephrotic syndrome with periorbital and peripheral edema. A kidney biopsy demonstrated endocapillary glomerulonephritis. Concomitantly, carditis with chest pain, moderately reduced left ventricular ejection fraction and mitral regurgitation were noted. The patient had no signs of pharyngitis in the whole period. The patient thus contracted poststreptococ glomerulonephritis and furthermore she fulfilled the criteria of acute rheumatic fever following a GABHS skin infection. We suggest a possible relation between a virulent GABHS clone causing NF and ARF. Article in Journal/Newspaper greenlandic Directory of Open Access Journals: DOAJ Articles Dermatology Reports 1 1 4 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Rheumatic fever APSGN nephrotic syndrome Dermatology RL1-803 |
spellingShingle |
Rheumatic fever APSGN nephrotic syndrome Dermatology RL1-803 Carsten Sauer Mikkelsen Allan Gelvan Ahmad Ibrahim Karin Ladefoged A case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci |
topic_facet |
Rheumatic fever APSGN nephrotic syndrome Dermatology RL1-803 |
description |
A middle-aged patient of Greenlandic origin was referred for skin infection of the leg. An initial minor trauma of the skin of the distal right lower extremity was complicated by bullous erysipelas which cultured positive for group A β-hemolytic streptococci (GABHS). The clinical condition deteriorated and necrotizing fasciitis developed despite relevant surgical and antibiotic treatment. Approximately 3 weeks later, the patient developed arthralgia, impaired renal function with azotemia, hypertension and severe nephrotic syndrome with periorbital and peripheral edema. A kidney biopsy demonstrated endocapillary glomerulonephritis. Concomitantly, carditis with chest pain, moderately reduced left ventricular ejection fraction and mitral regurgitation were noted. The patient had no signs of pharyngitis in the whole period. The patient thus contracted poststreptococ glomerulonephritis and furthermore she fulfilled the criteria of acute rheumatic fever following a GABHS skin infection. We suggest a possible relation between a virulent GABHS clone causing NF and ARF. |
format |
Article in Journal/Newspaper |
author |
Carsten Sauer Mikkelsen Allan Gelvan Ahmad Ibrahim Karin Ladefoged |
author_facet |
Carsten Sauer Mikkelsen Allan Gelvan Ahmad Ibrahim Karin Ladefoged |
author_sort |
Carsten Sauer Mikkelsen |
title |
A case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci |
title_short |
A case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci |
title_full |
A case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci |
title_fullStr |
A case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci |
title_full_unstemmed |
A case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci |
title_sort |
case of rheumatic fever with acute post-streptococcal glomerulonephritis and nephrotic syndrome caused by a cutaneous infection with beta-hemolytic streptococci |
publisher |
PAGEPress Publications |
publishDate |
2010 |
url |
https://doi.org/10.4081/dr.2009.e4 https://doaj.org/article/04b9f27daae3458dbb1d73c63a6a5fb1 |
genre |
greenlandic |
genre_facet |
greenlandic |
op_source |
Dermatology Reports, Vol 1, Iss 1, Pp e4-e4 (2010) |
op_relation |
http://www.pagepress.org/journals/index.php/dr/article/view/1494 https://doaj.org/toc/2036-7392 https://doaj.org/toc/2036-7406 2036-7392 2036-7406 doi:10.4081/dr.2009.e4 https://doaj.org/article/04b9f27daae3458dbb1d73c63a6a5fb1 |
op_doi |
https://doi.org/10.4081/dr.2009.e4 |
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Dermatology Reports |
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