Evaluation of the Appearance of Cardiomegaly on Chest Films of Pediatric Patients with Acute Poststreptococcal Glomerulonephritis
Abstract
We evaluated 17 patients with acute poststreptococcal glomerulonephritis (ASPGN) hospitalized in nephrology ward of Wahidin Sudirohusodo Hospital Ujung Pandang. The initial chest films and echocardiograms demonstrated the presence of cardiomegaly and pericardial effusion, respectively. Seven days later, either the cardiomegaly or the pericardial effusion disappeared. According to the statistical analysis, the relationship between the occurrence of cardiomegaly and pericardial effusion was significant (p<0.001). From this study we conclude that the occurrence of cardiomegaly in patients with ASPGN seems to be due to pericardial effusion. Our findings need to be confirmed by studying a larger number of patients.
References
2. Travis LB. Acute postinfectious glomerulonephritis. In: Rudolph AM, Hoffman JL eds. Pediatrics, Norwalk. Appleton & Lange, 1987:1169-71.
3. Kirkpatdck JA, Fleisher· DS. The roentgenographic appearances of the chest in acute glomerulonephrtis in children. J Pediatr 1964; 64:492-8.
4. M Farid, Syarifuidin Rauf, Azis Tanra. Gambaran foto paru anak dengan glomerulonephritis akut. KONIKA VI, Denpasar 1984.
5. Fesher DS et al. Hemodynamics findings in acute glomerulonephritis. J Pediatr 1966; 69:1054.
6. Jordan SC, Lemire CM. Acute poststreptococcaJ glomerulonephritis. Ped Clin North Am 1982; 29:863-71.
7. James AJ. Renal disease in ·cnildhood. 2nd ed. Saint Louis, The CV Mosby Co, 1972: 175-85. .
8. Hath way WE: et a!. Glomerular disea se. In: Current pediatric diagnosis and treatment. Middle East; Appleton & Lange 1991 :614-5.
9. Schram BE:, Kliegman R. Acute poststreptococcal glomerulonephritis. In: Nelson's essentials of pediatrics. Philadelphia, WB Saunders and Co, 1990:566-7.
10. Rose F. Plain chest radiograph. Mcd Internal I975; 2:672-8.
11. Arvan S. Echocardiography, an integrated approach, New York, Churchill Livingstone, 1984,213-38.
12. Lewy JE. Acute poststrcptococcal glomerulonephritis. Ped Clin North Am 1976; 23:75 1-8.
13. Golbergcr E. Diseases of the pericardium. In: Heart disease, its diagnosis and treatment. 2nd ed. Philadelphia, Lea and Febiger 1985; 642-58.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Accepted 2018-02-13