A Case of Hemolytic Uremic Syndrome Caused by Escherichia coli O8: Case Report.
- Author:
Yun Hyeong CHO
1
;
Hyo Jin PARK
;
Kee Sup SONG
;
Young Gu SONG
;
Sang In LEE
;
In Suh PARK
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. HJPARK21@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Escherichia coli O8;
Hemorrhagic colitis;
Hemolytic uremic syndrome
- MeSH:
Acute Kidney Injury;
Adolescent;
Anemia, Hemolytic;
Colitis;
Dialysis;
Disease Outbreaks;
Enterohemorrhagic Escherichia coli;
Escherichia coli*;
Escherichia*;
Hemofiltration;
Hemolytic-Uremic Syndrome*;
Humans;
Infant;
Parenteral Nutrition, Total;
Plasma Exchange;
Renal Dialysis;
Sigmoidoscopy;
Thrombocytopenia
- From:Korean Journal of Gastrointestinal Endoscopy
2002;25(4):213-216
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Since 1982, many countries have reported outbreaks or sporadic cases by enterohemorrhagic Escherichia coli (E. coli) serogroup strains, mainly E. coli O157 : H7. Hemorrhagic E. coli induces hemolytic uremic syndrome (HUS) in 10 to 15% of cases in infants and young chilidren. HUS is a clinical syndrome of hemolytic anemia, acute renal failure, and thrombocytopenia. We experienced a case of E. coli O8 as the causative organism of hemorrhagic colitis and hemolytic uremic syndrome in 16 year-old man. Hemorrhagic colitis was diagnosed by the sigmoidoscopy and E. coli O8 was identified in the stool culture. Hemolytic uremic syndrome was clinically diagnosed. A conservative management including total parenteral nutrition, plasma exchange transfusion, hemodialysis and continuous arteriovenous hemofiltration with dialysis resulted in a complete recovery of the patient. We herein report this manifestations of E. coli O8 and discuss the therapeutic issues related to hemorrhagic colitis and hemolytic uremic syndrome.
