Evaluation of the Appearance of Cardiomegaly on Chest Films of Pediatric Patients with Acute Poststreptococcal Glomerulonephritis

  • Husein Albar Department of Child Health, Hasanuddin University Medical School/Dr. Wahidin Sudirohusodo Hospital, Ujung Pandang, Makassar, South Sulawesi
  • Syarifuddin Rauf Department of Child Health, Hasanuddin University Medical School/Dr. Wahidin Sudirohusodo Hospital, Ujung Pandang, Makassar, South Sulawesi
  • Azis Tanra Department of Child Health, Hasanuddin University Medical School/Dr. Wahidin Sudirohusodo Hospital, Ujung Pandang, Makassar, South Sulawesi
Keywords: cardiomegaly, acute poststreptococcal glomerulonephritis, ASPGN, pericardial effusion

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

1. Rubin MI. Glomerulonephritis. In: Rubin Ml, Barret TM eels. Pediatric nephrology. Baltimore, the Williams and Wilkin Co, 1975:530-65.
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.
How to Cite
1.
Albar H, Rauf S, Tanra A. Evaluation of the Appearance of Cardiomegaly on Chest Films of Pediatric Patients with Acute Poststreptococcal Glomerulonephritis. PI [Internet]. 1 [cited 21Nov.2024];39(5-6):172-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1777
Received 2018-02-13
Accepted 2018-02-13