Complications of Acute Glomerulonephritis in Children in Port Harcourt

Abstract

Abstract Background: The incidence of scule glomeruloneplaritis (AGN) is iodalinc in developed countries and usually runs an complications. To class study we aim to determine the cutore complications and outcome of childhood AG in Port Harcourt, Nigeria.

Patients and Methods: A prospective study of children with acute glomerulonephritis (AGN) aurulled to the children's wador Emergency ward of the dearment of Paediatrics, Triversity of Text Harcourt Teaching Hospital (UITH) from June 2006 to June 2007, was carried out. The complications, investigations, treatment (conservative with or without dialysis) and outcome were document and analyzed

Results: The 31 patients with AGN1epresenter 38.5 percent of the 81 renal cases (excluding urinary tract infection) seer during the study period. They consisted of 16 (51.6 percent) males and 15 (18.4 percent) females, and were aged 3-16 years with a mean age of 3+ 4.2 years. Toenry (64.5 percent) patients had at least, the complication, and six (19.4pxecent) had more than one complication. There were more less [11: 55. TCETA] with complications ibuujemales [nine: 45.0 PETLET although the inference was not significant (p > 0.80). There was also the significant difference local patients will and without complications (p > 0.96). Acute Tenud Trul.rc (ARD) was the soonest complication serial 12 (38.7 percent) paticuts. Hypertensive encephalopathy will seizure occurred in five patients. Others included pulmonary vedere in five, nephrotic syndrome in four, axemia in four, while congestive. cardiac failure and chronic renal failure occurred in two parties each live patents with ARF underwood dialysis due to failure of conservative measures within traceable hypertension (2) and uncmis (3). The mean duration of admission was 12.3 1 9.6 days (raniye 7- 16 days). Three patients, comprising two with intocable hypertension and one with waertia died in the hospital.

Conclusion: Most cases of acute glomerulonephritis in this study the complications, with morality mainly from hypertensive encephalopulliy and uraccia.

Keywords: Acute gluterulmephritis, complications, children, Port Harcourt