A Case of Hemorrhagic Colitis Complicated by Hemolytic Uremic Syndrome.
- Author:
Jong Soo YUN
1
;
Jong Myung LEE
;
Nung Soo KIM
;
Ki Youn KIM
;
Won Kil LEE
;
Seong Han KIM
;
Chung Hoon CHUN
Author Information
1. Department of Internal Medicine, Kyungpook National University, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Hemorrhagic colitis;
Hemolytic uremic syndrome;
Sorbitol-negative E. coli;
E. coli O25;
Shiga-like toxin;
Plasmapheresis
- MeSH:
Abdominal Pain;
Adult;
Anemia, Hemolytic;
Anti-Bacterial Agents;
Ascites;
Colitis*;
Diarrhea;
Escherichia coli;
Fluid Therapy;
Follow-Up Studies;
Hemolytic-Uremic Syndrome*;
Humans;
Jaundice;
Plasmapheresis;
Thrombocytopenia;
Uremia
- From:Korean Journal of Infectious Diseases
1997;29(3):243-246
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of hemolytic uremic syndrome (HUS) associated with hemorrhagic colitis. A 35-year-old man was admitted to a local hospital because of abdominal pain and watery diarrhea that had developed about 6 hours after taking roast beef. He was treated with intravenous fluids and antibiotics, but watery diarrhea changed to bloody in nature from the next day. He was transferred to our hospital due to progressive ascites and jaundice on his 8th day of illness. Examinations revealed ascites, jaundice, microangiopathic hemolytic anemia, thrombocytopenia and uremia. Sorbitol-negative Escherichia coli was isolated from his stool, which proved as Shiga-like toxin-negative E. coli, serotype O25. His conditions improved markedly after three times of plasmapheresis and intravenous fluid therapy, and the organism was not isolated from the follow-up stool culture.
