Síndrome hemolítico urémico secundario a Streptococcus pneumoniae. Reporte de un caso clínico
Streptococcus pneumoniae associated hemolytic uremic syndrome (Sp-HUS) is an uncommon complication of invasive pneumococcal infections. Patients with Sp-HUS have a higher mortality and long term morbidity than those due to HUS from Shiga toxin-producing Escherichia coli infections (STEC-HUS). They o...
| Authors: | ; ; ; ; |
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2023 |
| Country: | Uruguay |
| Institution: | Universidad de la República |
| Repository: | COLIBRI |
| Language: | Spanish |
| OAI Identifier: | oai:colibri.udelar.edu.uy:20.500.12008/54106 |
| Online Access: | https://hdl.handle.net/20.500.12008/54106 |
| Access Level: | Open access |
| Keyword: | Síndrome hemolítico urémico Hemolytic uremic syndrome Streptococcus pneumoniae Insuficiencia renal Renal failure Anemia Plaquetopenia Thrombocytopenia Neumonía Pneumonia SÍNDROME HEMOLÍTICO-URÉMICO INFECCIONES NEUMOCÓCIAS NEUMONÍA NEUMOCÓCIA TROMBOCITOPENIA |
| Summary: | Streptococcus pneumoniae associated hemolytic uremic syndrome (Sp-HUS) is an uncommon complication of invasive pneumococcal infections. Patients with Sp-HUS have a higher mortality and long term morbidity than those due to HUS from Shiga toxin-producing Escherichia coli infections (STEC-HUS). They often require more red blood cells and platelet transfusions, and early initiation of renal substitution therapy, presenting a higher rate of arterial hypertension and chronic renal disease in the long term, compared to STEC-HUS. We report a healthy 2 year-old infant, vaccinated with three doses PCV13, that developed acute renal failure, hemolytic anemia and thrombocytopenia in the course of a complicated pneumococcal pneumonia with empyema and bacteremia. |
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