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2

Case 1

• Children usually do well

• +dults less like to have !ull recovery

•

+cute ,* !ollows other in!ections – $acterial sepsis acute or subacute

bacterial endocarditis visceral abscessin!ected ventriculoperitoneal shunt

osteomyelitis

 – reatment is aimed at eradicating theprimary disease

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#g+ *ephropathy – $uerger)s .isease

• Management – +ggressive control o! blood pressure

and proteinuria with +C(#)s or +72$)s

 – Corticosteroids :9- a"athiprine – variedschools o! thought

 – ;owever i! rapidly progressive ,* withcrescent deposition treatment should be

aggressive with high dose steroids andcyclophosphamide

 – Consult the *ephrologist