What history statement would likely be present when admitting a child with acute glomerulonephritis?

What history statement would likely be present when admitting a child with acute glomerulonephritis?

• A. The child had a sore throat a few weeks ago.
• B. The child has just recovered from the measles.
• C. The child's father has a family history of urinary tract infections.
• D. The child's immunizations were administered at the start of school.

Answer: (A)

The presence of a sore throat a few weeks prior to admission is consistent with the common etiology of acute glomerulonephritis. This condition is often associated with infections, particularly those caused by streptococci, which can follow upper respiratory infections like pharyngitis. This infectious process can lead to the development of glomerulonephritis due to the immune response generated by the body after the infection, particularly in certain strains of Group A beta-hemolytic streptococci. The other statements reflect different health histories but do not directly link to the development of acute glomerulonephritis. Recovery from measles, a family history of urinary tract infections, and a timeline for immunizations do not have a direct connection to the onset of glomerulonephritis, making the first statement the most indicative of a relevant antecedent to the condition being assessed in this child.

The presence of a sore throat a few weeks prior to admission is consistent with the common etiology of acute glomerulonephritis. This condition is often associated with infections, particularly those caused by streptococci, which can follow upper respiratory infections like pharyngitis. This infectious process can lead to the development of glomerulonephritis due to the immune response generated by the body after the infection, particularly in certain strains of Group A beta-hemolytic streptococci.

The other statements reflect different health histories but do not directly link to the development of acute glomerulonephritis. Recovery from measles, a family history of urinary tract infections, and a timeline for immunizations do not have a direct connection to the onset of glomerulonephritis, making the first statement the most indicative of a relevant antecedent to the condition being assessed in this child.