Author(s)

Mariam Sylla¹, Fatoumata Dicko-Traoré^1*, Abdoul Karim Doumbia¹, Aminata Coulibaly¹, Abdoul Aziz Diakité¹, Modibo Sangaré², Pierre Togo¹, Fousseyni Traoré¹, Amadou Touré¹, Djènèba Konaté¹, Karamoko Sacko¹, Belco Maiga¹, Fatoumata Léonie Diakité¹, Lala N’Drainy Sidibé¹, Mohamed Elmouloud Cissé¹, Adama Dembélé¹, Hawa Diall¹, Oumar Coulibaly¹, Ibrahim Hamadou¹, Leyla Maiga¹, Issiaka Koné¹, Boubacar Togo¹, Toumani Sidibé¹

¹Department of Pediatrics, CHU Gabriel Touré, Bamako, Mali.
²Faculty of Medecine and Odontostomatology, Bamako, Mali.

Introduction: Acute post-infectious glomerulonephritis (APIGN) can be serious due to its complications that still occur in our countries. In this work, we aimed to study the epidemiological, clinical, biological and evolutionary aspects of APIGN. Patients and methods: We conducted a retrospective, descriptive study from January 1^st, 2015 to December 31^st, 2017 in the pediatric ward of the Gabriel Touré Teaching Hospital in Bamako. All children hospitalized for APIGN were included. Results: In two years, we included 10 children aged 7 years old on average; all from low socioeconomic backgrounds. The sex ratio was 1.5. On average, the children spent 15.8 days before our consultation. Edema was the main reason for consultation. We found a history of infection and high blood pressure in 30% each, and renal failure in 10% of the children. Hematuria and proteinuria were detected in 100% and 90%, respectively. Hypocomplementemia was observed in 66.6%. One third of the children had a positive antistreptolysin O. The average duration of hospital stay was 11.2 days. The evolution was favorable in 90%. Kidney failure was the leading cause of death. Conclusion: Acute post-infectious glomerulonephritis is still a reality in our context. Emphasis should be put on its prevention by improving the hygienic conditions, detection and the management of infections.

Glomerulonephritis, Infection, Pediatrics, Mali

Sylla, M. , Dicko-Traoré, F. , Doumbia, A. , Coulibaly, A. , Diakité, A. , Sangaré, M. , Togo, P. , Traoré, F. , Touré, A. , Konaté, D. , Sacko, K. , Maiga, B. , Diakité, F. , Sidibé, L. , Cissé, M. , Dembélé, A. , Diall, H. , Coulibaly, O. , Hamadou, I. , Maiga, L. , Koné, I. , Togo, B. and Sidibé, T. (2018) Post-Infectious Acute Glomerulonephritis in Child: Epidemiological, Clinical and Evolutionary Aspects in Gabriel Touré Teaching Hospital in Mali. Open Journal of Pediatrics, 8, 366-374. doi: 10.4236/ojped.2018.84036.