Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one case

Hemolytic-uremic syndrome (HUS) is an uncommon complication of pneumococcal infection. Highly suggesting findings in a patient with Streptococcus pneumoniae infection are: microangyopatic hemolytic anemia, thrombocytopenia and acute renal failure. We report a 41 years old woman, admitted to the hosp...

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Autores principales:	Reynolds H,Enrique, Espinoza R,Mauricio, Mönckeberg F,Gustavo, Graf S,Jerónimo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Kidney failure, acute Hemolytic-uremic syndrome Pneumococcal infections
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000600012
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spelling	oai:scielo:S0034-988720020006000122014-08-20Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one caseReynolds H,EnriqueEspinoza R,MauricioMönckeberg F,GustavoGraf S,Jerónimo Kidney failure, acute Hemolytic-uremic syndrome Pneumococcal infections Hemolytic-uremic syndrome (HUS) is an uncommon complication of pneumococcal infection. Highly suggesting findings in a patient with Streptococcus pneumoniae infection are: microangyopatic hemolytic anemia, thrombocytopenia and acute renal failure. We report a 41 years old woman, admitted to the hospital due to a severe pneumonia, that required the surgical drainage of an empyema. On admission, a drop in packed red cell volume from 41 to 25%, the presence of schistocytes in the blood smear, an elevation of LDH to 1,700 IU/L, a fall in haptoglobin to 5.8 mg/dL and a thrombocytopenia of 72,000 per mm3 were detected. These alterations coincided with an oliguric acute renal failure. She was treated with hemodialysis and the hemolytic syndrome was managed with plasmapheresis. She was discharged 35 days after admission and in the follow up, after 2.5 months, her serum creatinine is 1.2 mg/dL and her packed red cell volume is 41% (Rev Méd Chile 2002; 130: 677-680)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.6 20022002-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000600012es10.4067/S0034-98872002000600012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Kidney failure, acute Hemolytic-uremic syndrome Pneumococcal infections
spellingShingle	Kidney failure, acute Hemolytic-uremic syndrome Pneumococcal infections Reynolds H,Enrique Espinoza R,Mauricio Mönckeberg F,Gustavo Graf S,Jerónimo Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one case
description	Hemolytic-uremic syndrome (HUS) is an uncommon complication of pneumococcal infection. Highly suggesting findings in a patient with Streptococcus pneumoniae infection are: microangyopatic hemolytic anemia, thrombocytopenia and acute renal failure. We report a 41 years old woman, admitted to the hospital due to a severe pneumonia, that required the surgical drainage of an empyema. On admission, a drop in packed red cell volume from 41 to 25%, the presence of schistocytes in the blood smear, an elevation of LDH to 1,700 IU/L, a fall in haptoglobin to 5.8 mg/dL and a thrombocytopenia of 72,000 per mm3 were detected. These alterations coincided with an oliguric acute renal failure. She was treated with hemodialysis and the hemolytic syndrome was managed with plasmapheresis. She was discharged 35 days after admission and in the follow up, after 2.5 months, her serum creatinine is 1.2 mg/dL and her packed red cell volume is 41% (Rev Méd Chile 2002; 130: 677-680)
author	Reynolds H,Enrique Espinoza R,Mauricio Mönckeberg F,Gustavo Graf S,Jerónimo
author_facet	Reynolds H,Enrique Espinoza R,Mauricio Mönckeberg F,Gustavo Graf S,Jerónimo
author_sort	Reynolds H,Enrique
title	Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one case
title_short	Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one case
title_full	Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one case
title_fullStr	Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one case
title_full_unstemmed	Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one case
title_sort	síndrome hemolítico-urémico y streptococo pneumoniae: report of one case
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000600012
work_keys_str_mv	AT reynoldshenrique sindromehemoliticouremicoystreptococopneumoniaereportofonecase AT espinozarmauricio sindromehemoliticouremicoystreptococopneumoniaereportofonecase AT monckebergfgustavo sindromehemoliticouremicoystreptococopneumoniaereportofonecase AT grafsjeronimo sindromehemoliticouremicoystreptococopneumoniaereportofonecase
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Síndrome hemolítico-urémico y Streptococo pneumoniae: Report of one case

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