Payne D, Houtman P, Browning M
Department of Immunology, Leicester Royal Infirmary, Leicester, UK.
J Clin Pathol. 2008 Oct;61(10):1133-5. doi: 10.1136/jcp.2008.056705.
The case of a 6-year-old boy who presented with acute post-streptococcal glomerulonephritis is reported. C3 levels and complement alternative pathway activity remained low for at least 10 months after presentation, before returning to normal. There was no evidence of other renal disease. This case highlights that hypocomplementaemia in acute post-streptococcal glomerulonephritis may persist for several months, and that prolonged hypocomplementaemia does not exclude this diagnosis.
报告了一名6岁男孩患急性链球菌感染后肾小球肾炎的病例。该患儿发病后C3水平和补体替代途径活性至少持续低水平10个月,之后才恢复正常。无其他肾脏疾病的证据。该病例突出表明,急性链球菌感染后肾小球肾炎的低补体血症可能持续数月,且补体血症持续时间延长并不能排除该诊断。