The presence of poststreptococcal glomerulonephritis in the pediatric patie
nt remains a diagnostic challenge to the emergency physician. The variabili
ty of both! patient presentation and laboratory parameters often obscures t
he diagnosis. We describe a child who presented to the emergency department
with subglottic edema and the possibility of impending airway compromise.
The child was admitted to the hospitals under close observation, and severa
l days later, the diagnosis of poststreptococcal glomerulonephritis was mad
e.