Author/Authors :
Khoybar, MA Ibn Sina Medical College - Dept of Paediatrics, Bangladesh , Sultana, S Delta Medical College - Dept of Microbiology, Bangladesh , Shaha, AK Sher-E-Bangla Medical College - Dept of Paediatrics, Bangladesh , Anwar, MH Ibn Sina Medical College - Dept of Dermatology, Bangladesh , Ashraful, MI Munshigonj Sadar Hospital, Bangladesh , Ruhul, AS Ibn Sina Medical College - Dept of Pathology, Bangladesh , Jahangir, HB Ibn Sina Medical College - Dept of Surgery, Bangladesh
Abstract :
Acute Glomerulonephritis (AGN) in children is common in our country and possesses a significant hospital load. AGN is principally a disease of children were poverty, overcrowding and poor hygiene are prevailing. It is a significant cause of morbidity and mortality in developing countries. Objective : To see the immediate outcome of the children with AGN. Materials and Mithods: Sixty two cases of AGN were enrolled in this study . All cases were collected from paediatric department of Sir Salimullah Medical College (SSMC) and Mitford Hospital, Dhaka during the period of September 2000 to November 2001. A thorough history were taken and chemical examination were carried out and the patient were observed during hospitalization and after discharge and recorded in a preformed questionnaire. Results: Total number of cases were sixty two. Eighty one percent were between 6 years to 12 years of age with male predominance. Most of then came from poor socioecononic status (81%). All patients had generalized edema. Eighty one percent had reduced micturation, 29% had gross haematuria, 13% ascitis, 3% anuria, 2% had epistaxis with convulsion and coma. Eighty four percent had hypertension, 50% had infected scabies. Urinary RBC was found in 93.55% cases and RBC cast in 70-96% cases, blood urea over 40 mg/dl in 30.64% patient and serum creatinine over 1.0 mg/dl in 9.88% patients.