Cargando…
Management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report
Hemolytic uremic syndrome (HUS) secondary to Streptococcus pneumoniae infections (pHUS) has been well reported in the literature and accounts for roughly 5% of all the cases of HUS. However, this condition is likely under-diagnosed and the incidence is believed to be increasing. Given this increase...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dustri-Verlag Dr. Karl Feistle
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437990/ https://www.ncbi.nlm.nih.gov/pubmed/29043123 http://dx.doi.org/10.5414/CNCS107887 |
_version_ | 1783237686131163136 |
---|---|
author | Weintraub, Lauren Ahluwalia, Manpreet Dogra, Samriti Uehlinger, Joan Skversky, Amy Vasovic, Ljiljana |
author_facet | Weintraub, Lauren Ahluwalia, Manpreet Dogra, Samriti Uehlinger, Joan Skversky, Amy Vasovic, Ljiljana |
author_sort | Weintraub, Lauren |
collection | PubMed |
description | Hemolytic uremic syndrome (HUS) secondary to Streptococcus pneumoniae infections (pHUS) has been well reported in the literature and accounts for roughly 5% of all the cases of HUS. However, this condition is likely under-diagnosed and the incidence is believed to be increasing. Given this increase in incidence of pHUS, it is important to have an understanding of the optimal means to manage the disease. We report a case of a 2-year-old male with pneumonia, acute kidney injury (AKI), microangiopathic hemolytic anemia (MAHA), and thrombocytopenia, diagnosed with pHUS and successfully treated with antibiotics, washed red blood cell (RBC) transfusions, plasma exchange (PE) with 5% albumin replacement, steroids, and hemodialysis. The response seen in our patient adds to the current literature and further supports the use of PE with albumin in patients with pHUS. |
format | Online Article Text |
id | pubmed-5437990 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dustri-Verlag Dr. Karl Feistle |
record_format | MEDLINE/PubMed |
spelling | pubmed-54379902017-10-17 Management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report Weintraub, Lauren Ahluwalia, Manpreet Dogra, Samriti Uehlinger, Joan Skversky, Amy Vasovic, Ljiljana Clin Nephrol Case Stud Case Report Hemolytic uremic syndrome (HUS) secondary to Streptococcus pneumoniae infections (pHUS) has been well reported in the literature and accounts for roughly 5% of all the cases of HUS. However, this condition is likely under-diagnosed and the incidence is believed to be increasing. Given this increase in incidence of pHUS, it is important to have an understanding of the optimal means to manage the disease. We report a case of a 2-year-old male with pneumonia, acute kidney injury (AKI), microangiopathic hemolytic anemia (MAHA), and thrombocytopenia, diagnosed with pHUS and successfully treated with antibiotics, washed red blood cell (RBC) transfusions, plasma exchange (PE) with 5% albumin replacement, steroids, and hemodialysis. The response seen in our patient adds to the current literature and further supports the use of PE with albumin in patients with pHUS. Dustri-Verlag Dr. Karl Feistle 2014-04-14 /pmc/articles/PMC5437990/ /pubmed/29043123 http://dx.doi.org/10.5414/CNCS107887 Text en © Dustri-Verlag Dr. K. Feistle http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Weintraub, Lauren Ahluwalia, Manpreet Dogra, Samriti Uehlinger, Joan Skversky, Amy Vasovic, Ljiljana Management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report |
title | Management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report |
title_full | Management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report |
title_fullStr | Management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report |
title_full_unstemmed | Management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report |
title_short | Management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report |
title_sort | management of streptococcal pneumoniae-induced hemolytic uremic syndrome: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437990/ https://www.ncbi.nlm.nih.gov/pubmed/29043123 http://dx.doi.org/10.5414/CNCS107887 |
work_keys_str_mv | AT weintraublauren managementofstreptococcalpneumoniaeinducedhemolyticuremicsyndromeacasereport AT ahluwaliamanpreet managementofstreptococcalpneumoniaeinducedhemolyticuremicsyndromeacasereport AT dograsamriti managementofstreptococcalpneumoniaeinducedhemolyticuremicsyndromeacasereport AT uehlingerjoan managementofstreptococcalpneumoniaeinducedhemolyticuremicsyndromeacasereport AT skverskyamy managementofstreptococcalpneumoniaeinducedhemolyticuremicsyndromeacasereport AT vasovicljiljana managementofstreptococcalpneumoniaeinducedhemolyticuremicsyndromeacasereport |