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Post-Streptococcal Glomerulonephritis — RACP Paediatrics MCQ

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ModerateInfectious DiseasePost-Streptococcal GlomerulonephritisRACP Paediatrics

A 4-year-old Aboriginal child from a remote community presents with scabies-infected skin sores. Which serious complication of Group A Streptococcal skin infection is particularly prevalent in this population?

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Correct answer: B — Post-streptococcal glomerulonephritis

Post-streptococcal glomerulonephritis (PSGN) follows Group A Streptococcal skin infections (more commonly than pharyngitis in tropical regions) and is highly prevalent in remote Aboriginal communities. It presents with haematuria, oedema, hypertension, and renal impairment 1–3 weeks after infection. Unlike ARF, PSGN can follow skin GAS infection.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Post-Streptococcal Glomerulonephritis