Adult nondiarrhea hemolytic uremic syndrome associated with Shiga toxin Escherichia coli O157:H7 bacteremia and urinary tract infection -: art. no. E4

被引：25

作者：

Chiurchiu, C

Firrincieli, A

Santostefano, M

Fusaroli, M

Remuzzi, G

Ruggenenti, P

机构：

[1] Clin Res Ctr Rare Dis Aldo & Cele Dacco, Villa Camozzi Ranica, Italy

[2] Azienda Unita Sanit Locale Ravenna, Div Nephrol & Dialysis, Villa Camozzi, Ranica, Italy

[3] Osped Riuniti Bergamo, Azienda Osped, Unit Nephrol & Dialysis, I-24100 Bergamo, Italy

[4] Mario Negri Inst Pharmacol Res, Clin Res Ctr Rare Dis Aldo & Cele Dacco, I-24125 Bergamo, Italy

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 2003年 / 41卷 / 01期

关键词：

hemolytic uremic syndrome (HUS); urinary tract infection (UTI); Shiga toxin; bacteremia; antibiotic treatment;

D O I：

10.1053/ajkd.2003.50022

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

About 15% of children with Shiga toxin (Stx) producing Escherichia coli (STEC) primarily of serotype O157:117, gastrointestinal infection, and watery or bloody diarrhea, may develop hemolytic uremic syndrome (D+ HUS). Usually D+ HUS is not complicated by bacteremia and patients recover spontaneously without antibiotic treatment. We report here an adult case of a STEC O157:117 urinary tract infection complicated by bacteremia and HUS that was not preceded by diarrhea (D- HUS). Cases of D- HUS need to be carefully examined for foci other than the gastrointestinal tract, and patients with E coli bacteremia should receive early antibiotic treatment as would any patient with sepsis.

引用

页数：4

共 22 条

[1] Post-dysenteric hemolytic uremic syndrome in children during an epidemic of Shigella dysentery in Kwazulu/Natal [J].