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88 - GLOMERULONEFRITE PÓS-ESTREPTOCÓCICA PEDIÁTRICA: DESAFIOS DIAGNÓSTICOS E VULNERABILIDADES NA REDE PÚBLICA DE PARNAÍBA

Doi: 10.47094/978-65-284-0654-8/883-891

PALAVRAS CHAVE: Glomerulonefrite. Pediatria. Anamnese.

KEYWORDS: Glomerulonephritis. Pediatrics. Medical History Taking.

ABSTRACT:
Post-streptococcal glomerulonephritis (PSGN) is a common cause of nephritic syndrome in children. However, the lack of access to specific biomarkers (antistreptolysin O [ASO], anti-DNase B, and complement component C3) within the public healthcare system in Parnaíba, Piauí, Brazil, poses challenges to diagnosis. This study aims to report the academic experience of managing PSGN in a public hospital, emphasizing clinical reasoning, patient management, and social determinants of health. This is a descriptive experience report conducted in a pediatric ward between 2025 and 2026, combined with an integrative literature review. In the absence of serological testing, diagnostic assessment relied on a thorough medical history, including a history of pyoderma, physical examination, and basic laboratory tests. Management focused on volume and blood pressure control through the use of furosemide and amlodipine, along with monitoring of body weight and urine output. Skin infections were found to be prevalent, highlighting socioeconomic and environmental vulnerability as well as gaps in primary healthcare. These findings reinforce the importance of clinical assessment and physical examination in decision-making within resource-limited settings. Strengthening primary healthcare services for the prevention and treatment of pyoderma is essential to reducing renal complications and hospitalizations.

Autores

  • Ana Beatriz Nascimento da Silva

  • Camila Freitas Aguiar Oliveira

  • Cíntia Évelyn dos Santos Oliveira

  • Erica Veronica da Silva Feitosa

  • Eunaihara Lígia Lira Marques

  • Gabrielle Rios Rodrigues Pires

  • Geovanna dos Santos e Silva

  • Lohanny Cristina Lima da Silva

  • Luana Beatriz da Silva Brito

  • Luiz Henrique Ferreira Lima

  • Maria Caroline da Silva Nascimento

  • Matheus Lima Serejo

  • Sávio Augusto Carvalho Teixeira

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