1982年夏秋季,我市某一村庄内发生皮肤脓疱疮流行,发生急性肾炎者20例,均为小儿。我们对其中2例肾炎患儿入院时脓疱疮未愈取其分泌物(余18例发生肾炎时脓疱疮已愈),细菌培养出四联球菌,现报告如下。例1.男,9岁。因尿少,眼睑浮肿5天入院。25天前四肢皮肤脓疱疮。5天来尿少,眼睑浮肿伴头痛、头晕、纳差。无咽痛、发热。体检:体温36.8℃,脉搏90次/分,血压17.3/13.3kPa(130/100mmHg)。眼睑浮肿,咽及扁桃腺无异常。心肺、肝脾无异常。肾区无叩击痛,两下肢轻度非凹陷性浮肿。实验室检查:白细胞8.2×10~9/L,中性64%,淋巴34%, In the summer of 1982, there was a prevalence of impetigo in a certain village in our city, and 20 cases of acute nephritis occurred in both children. We were 2 cases of nephritis in children admitted to impetigo did not take its secretions (more than 18 cases of nephritis impetigo has been cured), bacteria culture of Tetragenococcus, are as follows. Example 1. Male, 9 years old. Due to oliguria, eyelid edema admitted to hospital for 5 days. 25 days ago limbs skin impetigo. 5 days less urine, eyelid edema with headache, dizziness, anorexia. No sore throat, fever. Physical examination: body temperature 36.8 ℃, pulse 90 beats / min, blood pressure 17.3 / 13.3kPa (130 / 100mmHg). Eyelid edema, pharynx and tonsils no abnormalities. Heart and lung, liver and spleen without exception. Perling area without percussion pain, two lower limbs mild non-destructive edema. Laboratory tests: white blood cells 8.2 × 10 ~ 9 / L, 64% of neutral, lymphatic 34%