Claim Missing Document
Check
Articles

Found 12 Documents
Search

ACUTE POST-STREPTOCOCCUS GLOMERULONEPHRITIS WITH GRADE I HYPERTENSION Nolanda Trikanti; Etty Widyastuti
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 1 No. 1 (2014): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Acute Post-Streptococcus Glomerulonephritis (APSGN) is characterized by the appearance of hematuria, proteinuria, red blood cell in the urine, swelling (edema), and hypertension with or without oligouria. It can follow beta haemolytic streptococcus bacterial infection group A in the upper respiratory tract or on the skin. Boy, 7 years old, complained of swelling in the face, legs, and genital since 5 days before entering the hospital. As long as swelling, the patient looks pale, weakness, fatigue, lethargy, and loss of appetite. A week before admission, the patient's  urine was reddish. Nine days before admission, the patient had pharyngitis. In physical examination found blood pressure was 120/100 mmHg, pale skin, eyes anemic conjunctiva, swelling of palpebra, swelling of genital, swelling of lower extremity pretibia the right and left (pitting edema). Laboratory results, Hb 9.3 mg/dl, positive Anti Streptolysin Titer O (ASTO) examination, on urinalysis the urine color was red, protein 150 mg/dl and blood cryptic 250/ul. Patient was diagnosed with acute post-streptococcus glomerulonephritis with hypertension grade I. Managements were bed rest, low salt diet, supportive therapy, IVFD D5% 15 drops/min (micro), antibiotic ceftriaxone 1gr/12h, and diuretic furosemide 25mg/8h. APSGN disease has a good prognosis if treated properly. [J Agromed Unila 2014; 1(1):35-41] Keywords: acute post-streptococcus glomerulonephritis, hypertension grade I
Glomerulonefritis Akut Pasca Streptokokal dengan Hipertensi pada Anak Ria Rizki Jayanti; Etty Widyastuti; Betta Kurniawan
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 4 No. 2 (2017): Jurnal Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Glomerulonefritis akut merupakan suatu reaksi imunologis pada ginjal terhadap bakteri atau virus tertentu yang dengan karakterisitik berupa cedera glomerular yang onsetnya mendadak. WHO mempekirakan 472.000 kasus glomerulonefritis akut pasca streptokokal (GNAPS) terjadi setiap tahunnya secara global dengan 5.000 kematian setiap tahunnya. Di Indonesia pengamatan mengenai GNA pada anak di sebelas universitas di Indonesia pada tahun 1997-2002, lebih dari 80% dari 509 anak dengan GNA mengalami efusi pleura, kardiomegali serta efusi perikardial, dan 9,2% mengalami ensefalopati hipertensi. An. B, 11 tahun datang ke rumah sakit dengan keluhan buang air kecil berwarna kemerahan, bengkak pada wajah terutama disekitar mata dan saat bangun disertai nyeri ulu hati. Riwayat demam, batuk dan sakit tenggorokan dua minggu sebelumnya. Pemeriksaan fisik ditemukan tekanan darah 150/110 mmHg. Hasil urinalisis didapatkan warna merah, kejernihan keruh, protein 500 mg/dl, darah samar 300 Ery/μi, sedimen eritrosit 20-30/LP 400 x/LBP. Pemeriksaan kimia darah albumin 2,2 gr/dL, ureum 122 mg/dL, kreatinin 1,80 mg/dL, pemeriksaan ASTO (-), dan CRP (+). Berdasarkan klinik tersebut pasien didiagnosis GNAPS dengan hipertensi grade II.Kata kunci: edema, glomerulonefritis, hipertensi