PSAGN statement: which is correct?

PSAGN statement: which is correct?

• A. Treatment in the acute phase may require salt restriction, diuretics, and antipyretics; the expected outcome is good
• B. PSAGN typically begins 28 days after a streptococcal infection
• C. Appropriate antibiotic treatment prevents nephritogenic group A beta-hemolytic streptococcal infection
• D. The urine test reveals no RBC casts or proteinuria

Answer: (A)

Post-streptococcal acute glomerulonephritis is managed with supportive care during the acute phase, and the outlook in children is generally favorable. Edema from fluid retention is helped with salt restriction and diuretics, while fever or discomfort is treated with antipyretics. Antibiotics are used to clear the original streptococcal infection but do not prevent the nephritic process, and they are not the main strategy for preventing PSAGN. The disease often resolves with time, and most children recover fully. The other statements don’t fit this pattern: the onset after infection is variable and not fixed at a 28-day point, with timing depending on whether the prior infection was pharyngitis or skin infection; the urine in PSAGN typically shows hematuria with RBC casts and proteinuria, not absence of these findings; and while treating the infection is important, it does not prevent the development of PSAGN.

Post-streptococcal acute glomerulonephritis is managed with supportive care during the acute phase, and the outlook in children is generally favorable. Edema from fluid retention is helped with salt restriction and diuretics, while fever or discomfort is treated with antipyretics. Antibiotics are used to clear the original streptococcal infection but do not prevent the nephritic process, and they are not the main strategy for preventing PSAGN. The disease often resolves with time, and most children recover fully.

The other statements don’t fit this pattern: the onset after infection is variable and not fixed at a 28-day point, with timing depending on whether the prior infection was pharyngitis or skin infection; the urine in PSAGN typically shows hematuria with RBC casts and proteinuria, not absence of these findings; and while treating the infection is important, it does not prevent the development of PSAGN.