Hemolytic uremic syndrome associated with Shigellosis: a report of 8 cases.
During an outbreak of dysentery in the Northeastern part of Thailand, eight cases of HUS were admitted to Srinagarind Hospital from April to September 1987. Their ages ranged from 6 months to 6 years (mean age = 2.4 years). All patients had prodromal symptoms of mucous bloody diarrhea. The stool culture was positive for Shigella dysentery type I in one case. The treatment included blood transfusion, peritoneal dialysis, exchange transfusion and supportive treatment. One patient died from nosocomial septicemia. For the survivors, platelets count returned to normal after 7 to 19 days (mean 12.8 days). The duration of azotemia ranged from 12 to 36 days (mean = 20 days). One patient was azotemic during 40 days of hospitalization.
Kovitangkoon
K
K
Department of Pediatrics, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand.
Kirdpon
S
S
Pirojkul
C
C
Sripa
B
B
D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D004405:Dysentery, Bacillary / Q000150:complications* / Q000453:epidemiology; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006761:Hospitals; D006801:Humans; D007223:Infant; D008297:Male; D013785:Thailand / Q000453:epidemiology