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<p>Post-streptococcal glomerulonephritis (PSGN) is a serious public health problem that mainly affects children. Although rare, the disease affected two children from the Xakriabá indigenous community, being the most common cause of acute nephritis in this age group and potentially leading to irreversible kidney damage if not treated promptly. We report two cases of PSGN in indigenous children that occurred in the village of Brejo, municipality of São João das Missões, Minas Gerais, Brazil. The cases were identified between August and December 2024. All cases were observed in male rural residents, aged between 8 and 10 years. The cause of the disease was a previous cutaneous infection by <i>Streptococcus pyogenes</i>, confirmed by titration of type O antistreptolysin. The predominant symptoms were hypertension, facial and lower limb edema, microscopic hematuria, and abdominal pain. All cases were treated in a hospital setting and recovered without complications. We recommend that health teams encourage regular hygiene practices and that the government invest in improvements in environmental sanitation to protect the kidney health of this vulnerable indigenous population.</p>

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Post-streptococcal glomerulonephritis in Xakriabá indigenous children: case reports

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月7日

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  • Dilceu Silveira Tolentino Júnior,
  • Hilana Danielle Honorato Veloso,
  • Maelso Bispo de Sousa,
  • Maiele Bispo de Sousa,
  • Roberto Carlos de Oliveira,
  • Eliseu Miranda de Assis

摘要

Post-streptococcal glomerulonephritis (PSGN) is a serious public health problem that mainly affects children. Although rare, the disease affected two children from the Xakriabá indigenous community, being the most common cause of acute nephritis in this age group and potentially leading to irreversible kidney damage if not treated promptly. We report two cases of PSGN in indigenous children that occurred in the village of Brejo, municipality of São João das Missões, Minas Gerais, Brazil. The cases were identified between August and December 2024. All cases were observed in male rural residents, aged between 8 and 10 years. The cause of the disease was a previous cutaneous infection by Streptococcus pyogenes, confirmed by titration of type O antistreptolysin. The predominant symptoms were hypertension, facial and lower limb edema, microscopic hematuria, and abdominal pain. All cases were treated in a hospital setting and recovered without complications. We recommend that health teams encourage regular hygiene practices and that the government invest in improvements in environmental sanitation to protect the kidney health of this vulnerable indigenous population.