UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 44 / No. 2 / Published : 2008-04

Order : 9, and page :107 - 110

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Original Article :

Management of acute glomerulonephritis in a child with ischemic stroke and hypertensive crisis

Author :

  1. Prastiya Indra Gunawan*1
  2. Ninik Asmaningsih Soemiarso*2
  3. Muhammad Sjaifullah Noer*3
  4. Darto Saharso*4
  1. Department of Child Health Airlangga University School of Medicine Dr Soetomo Teaching Hospital, Surabaya
  2. Department of Child Health Airlangga University School of Medicine Dr Soetomo Teaching Hospital, Surabaya
  3. Department of Child Health Airlangga University School of Medicine Dr Soetomo Teaching Hospital, Surabaya
  4. Department of Child Health Airlangga University School of Medicine Dr Soetomo Teaching Hospital, Surabaya

Abstract :

Acute glomerulonephritis refers to a specific set of renal diseases in which an immunologic mechanism triggers inflammation and proliferation of glomerular tissue. Some patients present with hypertensive emergency and cerebral involvement. It was uncommon case of ischemic stroke accompanied by acute glomerulonephritis. The patient was 8 year-old boy admitted to the hospital with the main complaint of unconsciousness. He had seizure and dark urine. Physical examination revealed blood pressure 160/120 mmHg, anisocor pupils and paresis. Urine examination showed proteinuria and urine sediment full of erythrocyte and white blood cells. ASTO titer 800 IU/ml and low level of C3. Head CT scan showed a wide embolic ischemic cerebral infarction in right fronto-temporo-parieto-occipital region that appropriate with right media cerebral artery and perifocal edema. He was treated with furosemide, nifedipin, manitol and dexamethasone. The condition improved with the treatment without decompressive trepanation. The patient was discharged in good condition.

Keyword :

acute glomerulonephritis, ischemic stroke, hypertensive crisis, clinical signs, management, improved ,


References :

Cole, BR,(2000) Acute proliferative gloerulonephritis and crescent glomerulonephritis, in M Holliday, TM Barrat, ED Avner (eds), Pediatric Nephrology Philadelphia : William and Wilkins

Ingerfinger, JR,(1990) Hypertension and hypotension in children, in I Ichikawa (ed), Pediatric Textbook of Fluids and Electrolytes Baltimore : Williams and Wilkins





Archive Article

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Volume : 44 / No. : 2 / Pub. : 2008-04
  1. Tgf-β1 As The Trigger Of Pulp Fibroblast Proliferation
  2. Difference In Cyclooxygenase-2 (cox-2) Expression Between Low And High Grade Papillary Carcinoma In Human Bladder Cancer
  3. Detection Of Cytokeratin 19 Mrna In Blood As An Early Marker Of Micrometastatic Tumor Cells Of Nasopharyngeal Carcinoma Patients In Surabaya
  4. Pcr Technique Detection Of Chlamydia Trachomatis Dna Band Using Silver Nitrate Staining
  5. Change Of Cd4 Count, Hsp70 And Anti-hsp70 Levels In Hiv Patients
  6. Hiv/aids Prevalence In Surabaya, Indonesia
  7. Treatment Response And Acute Toxicity Evaluation Of 70 Gray Radiation In Nasopharyngeal Carcinoma Patients In Dr Soetomo Hospital, Surabaya
  8. Pharmacodynamic Effects Of Ligustroside Glycoside (a Cns Active Substance) Isolated From Fraxinus Graffithii Clarke Against Chemically Induced Seizures On Mice
  9. Management Of Acute Glomerulonephritis In A Child With Ischemic Stroke And Hypertensive Crisis
  10. Efficacy Of Orlistat Plus Diet Compared To Diet Alone In Reducing Body Weight And Body Mass Index
  11. Review Article: Pathogenesis Of Repeated Abortion In Polycystic Ovarian Syndrome (pcos)
  12. Review Article: Protein Calorie Malnutrition And Immune Response In Children
  13. Review Article And Clinical Experience: Varenicline (champix®) : A Breakthrough For Smoking Cessation Treatment (an α4ß2 Nicotinic Acethylcholine Receptor Partial Agonist)

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