Acute post-streptococcal glomerulonephritis is caused by specific nephritogenic strains of a beta haemolytic streptococcus, group A. The course of this disease is variable, from asymptomatic accidental abnormal findings in urine to severely developer nephritic syndrome with macroscopic haematuria, oedema, hypertension, and monitoring to rule out a more severe from of glomerulonephritis.
We report a patient with an unusually severe course of acute post-streptococcal glomerulonephritis, incurred as a result of skin infections at the time of distance medicine.