CEREBRAL INFARCT WITH RECURRENCE OF HEMOLYTIC-UREMIC SYNDROME IN A CHILD FOLLOWING RENAL-TRANSPLANTATION

被引:4
作者
MOCHON, M
KAISER, BA
DECHADAREVIAN, JP
POLINSKY, MS
BALUARTE, HJ
机构
[1] Department of Pediatrics (Section of Nephrology), St. Christopher's Hospital for Children Temple University, School of Medicine, Philadelphia, 19134, Pennsylvania, Erie Avenue at Front Street
[2] Department of Pathology, St. Christopher's Hospital for Children, Temple University, School of Medicine, Philadelphia, Pennsylvania
关键词
HEMOLYTIC-UREMIC SYNDROME; TRANSPLANTATION; RECURRENCE; CEREBRAL INFARCTION;
D O I
10.1007/BF00866501
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
A white girl with a history of atypical hemolytic-uremic syndrome (HUS) and persistent microangiopathic anemia, and thrombocytopenia for 2 months after the initial presentation at age 7 months, received her first cadaveric renal transplant at age 3 years. During the first 2.5 days post transplant, she developed progressive thrombocytopenia and anemia followed by tonic-clonic seizures and loss of consciousness, secondary to a diffuse cerebral infarction of the left hemisphere. Renal histology showed evidence of glomerular microthrombi and microangiopathy. A large cerebral infarct, previously described in patients during their initial presentation with HUS, presented in our patient as part of the recurrence of the disease post renal transplantation.
引用
收藏
页码:550 / 552
页数:3
相关论文
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