A Case of Hemolytic Uremic Syndrome with Hemorrhagic Colitis due to Escherichia coli O111 Infection.
- Author:
Jong Pyo KIM
1
;
Dong Soo HAN
;
Chang Hee PAIK
;
Yong Woo CHUNG
;
Jin Bae KIM
;
Joo Hyun SOHN
;
Joon Soo HAHM
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Guri, Korea. hands@hanyang.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Escherichia coli infection;
Hemolytic uremic syndrome
- MeSH:
Colitis/complications/*microbiology;
Escherichia coli/*classification;
Escherichia coli Infections/complications/*microbiology;
Female;
Gastrointestinal Hemorrhage/*etiology;
Hemolytic-Uremic Syndrome/complications/*microbiology;
Humans;
Middle Aged;
Serotyping
- From:The Korean Journal of Gastroenterology
2005;45(5):365-368
- CountryRepublic of Korea
- Language:English
-
Abstract:
Shiga toxin producing E. coli (STEC) may cause severe hemorrhagic colitis followed by hemolytic uremic syndrome (HUS). In Korea, there had been a few case reports of HUS by STEC, mostly due to O157 serotype. The reports of HUS caused by STEC non-O157 serotype were rare. We report a sporadic case of HUS associated with hemorrhagic colitis. A 51-year-old woman was admitted to our hospital due to intractable abdominal pain and bloody diarrhea. Three days after admission, azotemia and microangiopathic hemolysis developed. E. coli, serotype O111 was identified. Conservative management with plasmapheresis resulted in a complete recovery.
