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May 1968, Vol 115, No. 5 >
Article | May 1968

Recovery Following 36 Days of Oliguria in a Child With Acute Glomerulonephritis FREE

J. T. Harrington, MD; B. Senior, MD
[+] Author Affiliations

Received for publication Aug 18, 1967.

Reprint requests to 171 Harrison Ave, Boston 02111 (Dr. Senior).


Am J Dis Child. 1968;115(5):611-613. doi:10.1001/archpedi.1968.02100010613014.
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IN CHILDREN the recovery rate from acute glomerulonephritis exceeds 90%1 and does not appear to be adversely affected by the degree of edema, hematuria, hypertension, or azotemia.2 Prolongation of oliguria beyond 48 hours, however, does have a more serious prognostic connotation with a significantly increased mortality rate. In adults such an occurrence is extremely ominous.3 Nevertheless, there are reports of children who have survived following considerably longer periods of oliguria.4-6 This report is of a child who recovered after being oliguric for 36 days.

Report of a Case  (BFH 70-17-48) A 3-year-old white girl was admitted to the Boston Floating Hospital on Nov 10, 1965, for evaluation and treatment of acute renal failure.She had been delivered by breech at term and had had an uncomplicated neonatal course. Growth and development had been entirely normal. She enjoyed good health and there was no previous history of

REFERENCES

1 +
Edelmann, C.M., Jr.; Greifer, I.; and Barnett, H.L.:  The Nature of Kidney Disease in Children Who Fail to Recover From Apparent Acute Glomerulonephritis , J Pediat 64:879-887 ( (June) ) 1964;.
2 +
Schwartz, W.B., and Kassirer, J.P.: " Clinical Aspects of Acute Glomerulonephritis ," in Strauss, M.B., and Welt, L.G. (eds.): Diseases of the Kidney , Boston: Little, Brown & Co., 1963;, p 268.
3 +
Schreiner, G.E., et al:  Anuria in Acute Glomerulonephritis , Clin Res 8:233 ( (April) ) 1960;.
4 +
Kallen, R.J., et al:  Hemodialysis in Children: Technique, Kinetic Aspects Related to Varying Body Size, and Application to Salicylate Intoxication, Acute Renal Failure, and Some Other Disorders , Medicine 45:1-50 ( (Jan) ) 1966;.
5 +
Harrison, C.V.; Loughridge, L.W.; and Milne, M.D.:  Acute Oliguric Renal Failure in Acute Glomerulonephritis and Polyarteritis Nodosa , Quart J Med 33:39-55 ( (Jan) ) 1964;.
6 +
Dahl, M., et al:  Artificial Kidney in the Treatment of Anuria in a 9-Month-Old Girl Suffering From Acute Glomerulonephritis , Ann Paediat Fenn 10:183-186, 1964;.
7 +
Mota, F.H.; Seguias, S.N.; and Gordillo, P.G.:  Glomerulonefritis aquda con 54 dias de anuria , Bol Med Hosp Infant Mex 21:719, 1964;.

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References

1 +
Edelmann, C.M., Jr.; Greifer, I.; and Barnett, H.L.:  The Nature of Kidney Disease in Children Who Fail to Recover From Apparent Acute Glomerulonephritis , J Pediat 64:879-887 ( (June) ) 1964;.
2 +
Schwartz, W.B., and Kassirer, J.P.: " Clinical Aspects of Acute Glomerulonephritis ," in Strauss, M.B., and Welt, L.G. (eds.): Diseases of the Kidney , Boston: Little, Brown & Co., 1963;, p 268.
3 +
Schreiner, G.E., et al:  Anuria in Acute Glomerulonephritis , Clin Res 8:233 ( (April) ) 1960;.
4 +
Kallen, R.J., et al:  Hemodialysis in Children: Technique, Kinetic Aspects Related to Varying Body Size, and Application to Salicylate Intoxication, Acute Renal Failure, and Some Other Disorders , Medicine 45:1-50 ( (Jan) ) 1966;.
5 +
Harrison, C.V.; Loughridge, L.W.; and Milne, M.D.:  Acute Oliguric Renal Failure in Acute Glomerulonephritis and Polyarteritis Nodosa , Quart J Med 33:39-55 ( (Jan) ) 1964;.
6 +
Dahl, M., et al:  Artificial Kidney in the Treatment of Anuria in a 9-Month-Old Girl Suffering From Acute Glomerulonephritis , Ann Paediat Fenn 10:183-186, 1964;.
7 +
Mota, F.H.; Seguias, S.N.; and Gordillo, P.G.:  Glomerulonefritis aquda con 54 dias de anuria , Bol Med Hosp Infant Mex 21:719, 1964;.

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