A case of hemolytic uremic syndrome caused by Escherichia coli O104:H4

被引:61
作者
Bae, Woo Kyun [1 ]
Lee, Youn Kyoung [1 ]
Cho, Min Seok [1 ]
Ma, Seong Kwon [1 ]
Kim, Soo Wan [1 ]
Kim, Nam Ho [1 ]
Choi, Ki Chul [1 ]
机构
[1] Chonnam Natl Univ, Dept Internal Med, Sch Med, Kwangju 501757, South Korea
关键词
hemolytic uremic syndrome; E; coli;
D O I
10.3349/ymj.2006.47.3.437
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 29-year-old woman presented with blood), diarrhea, abdominal pain, hemolytic anemia, thrombocytopenia, and acute renal failure. She was diaposed with Escherichia coli O104:H4-associated hemolytic-uremic syndrome (HUS) and treated with plasmapheresis and hemodialysis for 3 weeks. She recovered without sequelae. To the best of our knowledge, this is the first report of Escherichia coli O104:H4-a-ssociated HUS in Korea. We recommend that Escherichia coli O104:H4, as well as the more common O157:147, be considered in the diagnosis of bloody diarrhea-associated HUS.
引用
收藏
页码:437 / 439
页数:3
相关论文
共 18 条
  • [1] The United States national prospective hemolytic uremic syndrome study: Microbiologic, serologic, clinical, and epidemiologic findings
    Banatvala, N
    Griffin, PM
    Greene, KD
    Barrett, TJ
    Bibb, WF
    Green, JH
    Wells, JG
    [J]. JOURNAL OF INFECTIOUS DISEASES, 2001, 183 (07) : 1063 - 1070
  • [2] CURRENT CONCEPTS - ESCHERICHIA-COLI O157-H7 AND THE HEMOLYTIC-UREMIC SYNDROME
    BOYCE, TG
    SWERDLOW, DL
    GRIFFIN, PM
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (06) : 364 - 368
  • [3] Non-O157 Shiga toxin-producing Escherichia coli infections in Europe
    Caprioli, A
    Tozzi, AE
    Rizzoni, G
    Karch, H
    [J]. EMERGING INFECTIOUS DISEASES, 1997, 3 (04) : 578 - 579
  • [4] Cho YH, 2002, KOREAN J GASTROINTES, V25, P213
  • [5] Effectiveness of therapeutic plasma exchange in the 1996 Lanarkshire Escherichia coli O157:H7 outbreak
    Dundas, S
    Murphy, J
    Soutar, RL
    Jones, GA
    Hutchinson, SJ
    Todd, WTA
    [J]. LANCET, 1999, 354 (9187) : 1327 - 1330
  • [6] Nationwide study of haemolytic uraemic syndrome: clinical, microbiological, and epidemiological features
    Elliott, EJ
    Robins-Browne, RM
    O'Loughlin, EV
    Bennett-Wood, V
    Bourke, J
    Henning, P
    Hogg, GG
    Knight, J
    Powell, H
    Redmond, D
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD, 2001, 85 (02) : 125 - 131
  • [7] Kaplan BS, 1998, J AM SOC NEPHROL, V9, P1126
  • [8] Kim YB, 1998, FEMS MICROBIOL LETT, V166, P43, DOI 10.1111/j.1574-6968.1998.tb13181.x
  • [9] McLeod BC, 2000, J CLIN APHERESIS, V15, P1
  • [10] Escherichia coli O157:H7
    Mead, PS
    Griffin, PM
    [J]. LANCET, 1998, 352 (9135) : 1207 - 1212