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May 1968

Recovery Following 36 Days of Oliguria in a Child With Acute Glomerulonephritis

Author Affiliations

From the departments of medicine (Dr. Harrington) and pediatrics (Dr. Senior), Tufts University School of Medicine, and the Renal Laboratory and Pediatric Endocrine-Metabolic Service, New England Medical Center Hospitals, Boston. Dr. Harrington is a fellow in Medicine (Renal) at Tufts University School of Medicine.

Am J Dis Child. 1968;115(5):611-613. doi:10.1001/archpedi.1968.02100010613014

IN CHILDREN the recovery rate from acute glomerulonephritis exceeds 90%1 and does not appear to be adversely affected by the degree of edema, hematuria, hypertension, or azotemia.2 Prolongation of oliguria beyond 48 hours, however, does have a more serious prognostic connotation with a significantly increased mortality rate. In adults such an occurrence is extremely ominous.3 Nevertheless, there are reports of children who have survived following considerably longer periods of oliguria.4-6 This report is of a child who recovered after being oliguric for 36 days.

Report of a Case  (BFH 70-17-48) A 3-year-old white girl was admitted to the Boston Floating Hospital on Nov 10, 1965, for evaluation and treatment of acute renal failure.She had been delivered by breech at term and had had an uncomplicated neonatal course. Growth and development had been entirely normal. She enjoyed good health and there was no previous history of

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