Managing a child with post-streptococcal glomerulonephritis in a remote, rural clinic

Abstract

AMRIT Clinic in Bedawal village, located about 25 km from the nearest town and 100 km from Udaipur city, serves about 3000 tribal families. In this article, we discuss the management of a child with poststreptococcal glomerulonephritis (PSGN), who presented to us in unusual circumstances. Although PSGN is not an uncommon clinical condition, the goals of sharing this experience are threefold: sensitizing our urban counterparts to the challenges of managing such cases in the rural settings; describing the criticality of maintaining a balance between traditional beliefs and evidence-based medicine; and highlighting the value of “upstream” prevention rather than “downstream” treatment.