Case Study: Tracing the Clues – A Child with Hematuria and Proteinuria

Title

Case Study: Tracing the Clues – A Child with Hematuria and Proteinuria

Author

1. Rajan Shukla, Student, Altai State Medical University, Barnaul, Russia

Abstract

Hematuria and proteinuria in pediatric patients can be indicative of various renal pathologies, necessitating a structured diagnostic approach. This case study examines a 9-year-old male presenting with dark-colored urine, mild facial puffiness, and fatigue. Urinalysis revealed significant hematuria with dysmorphic RBCs and proteinuria, prompting further investigations. Laboratory findings, including low C3 levels and elevated ASO titers, led to a diagnosis of Post-Streptococcal Glomerulonephritis (PSGN). The case underscores the importance of early detection, targeted investigations, and supportive management in ensuring positive clinical outcomes.

Keywords

Conclusion

This case highlights the importance of urinalysis in evaluating pediatric kidney conditions. The presence of hematuria with RBC casts and proteinuria, combined with low C3 and an elevated ASO titer, provided a strong diagnostic clue for PSGN. Early identification and appropriate management ensured a good prognosis for the child. Pediatricians and nephrologists must recognize these clinical patterns to guide timely intervention and prevent complications.

Author Contrubution

The sole responsibility for the study design, data gathering, results analysis, and manuscript drafting lies with the author.

Funding

No specific grants from any funding agencies in the public, commercial, or non-profit sectors were received for this research, authorship, or publication.

Conflict of Interest

All authors confirm that there are no conflicts of interest associated with this research.

Data Sharing Statement

This study does not involve data sharing.

Software And Tools Use

No particular software or tools were employed in this study.

Acknowledgements

I express my gratitude to those who provided expertise and assistance throughout this study and manuscript preparation. Special thanks to the anonymous peer reviewers for their valuable feedback.