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Case Reports in Critical Care
Volume 2017 (2017), Article ID 1050284, 5 pages
https://doi.org/10.1155/2017/1050284
Case Report

A Pediatric Case of Diffuse Alveolar Hemorrhage Secondary to Poststreptococcal Glomerulonephritis

1University of Saskatchewan, Saskatoon, SK, Canada
2Division of Pediatric Intensive Care, University of Saskatchewan, Saskatoon, SK, Canada
3Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
4Department of Laboratory Medicine, University of Saskatchewan, Saskatoon, SK, Canada
5Division of Pediatric Respirology, University of Saskatchewan, Saskatoon, SK, Canada

Correspondence should be addressed to Darryl Adamko; ac.ksasu@okmada.lyrrad

Received 15 September 2017; Accepted 28 November 2017; Published 20 December 2017

Academic Editor: Mehmet Doganay

Copyright © 2017 Alison Markland et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This report summarizes a case of a 4-year-old girl with poststreptococcal glomerulonephritis and diffuse alveolar hemorrhage, an atypical presentation in this age group and type of vasculitic disease. We propose that her rapid improvement in clinical status was due to her treatment, continuous renal replacement therapy (CRRT). This mechanism would have impacted recovery by removing factors such as endothelial microparticles, superantigens, and immune complexes that have been postulated as the pulmonary-renal link. This may be an interesting avenue of exploration going forward given the lack of evidence in treating such conditions and emergence of CRRT.