J Korean Soc Pediatr Nephrol.  2004 Apr;8(1):86-90.

A Case of Hemolytic Uremic Syndrome in a Child with Ischemic Colitis

Affiliations
  • 1Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine, Seoul, Korea. jsyonse@yumc.yonsei.ac.kr

Abstract

Hemolytic uremic syndrome(HUS) is characterized by acute renal failure, microangiopathic hemolytic anemia, and thrombocytopenia and the most common pathogen is Escherichia coli (E. coli) O157:H7. Ischemic colitis, which rarely occurs in children, is due to the reduced local blood flow to the intestine, tissue necrosis and secondary bacterial infection. We describe a patient who was admitted with abdominal pain, vomiting and hematochezia, and diagnosed as ischemic colitis by barium enema. This patient showed hemolytic anemia, thrombocytopenia and progressive renal failure and was subsequently diagnosed as hemolytic uremic syndrome. After hemodialysis, the patient showed improvement of symptoms and resolution of renal failure and ischemic colitis.

Keyword

Hemolytic uremic syndrome; Ischemic colitis

MeSH Terms

Abdominal Pain
Acute Kidney Injury
Anemia, Hemolytic
Bacterial Infections
Barium
Child*
Colitis, Ischemic*
Enema
Escherichia coli
Gastrointestinal Hemorrhage
Hemolytic-Uremic Syndrome*
Humans
Intestines
Necrosis
Renal Dialysis
Renal Insufficiency
Thrombocytopenia
Vomiting
Barium
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