Hemolytic uremic syndrome in a child with burn injuries.
We report the first case of hemolytic uremic syndrome in a patient with burns. An unusual case of the syndrome developed in a 1-year-old black girl hospitalized after second-degree burns to 33% of her total body surface area. Acute abdominal distention, hemolytic anemia, hematuria, and oliguric renal failure developed 1 week after admission to the burn unit. Blood cultures grew Escherichia coli O157:H7. She received supportive care and antibiotics, in addition to low-dose dopamine, which promptly reversed the oliguria. Dialysis was not required, and the child made a complete recovery.
Emil
S
S
Department of Surgery, Loma Linda University School of Medicine, California, USA.
Rockstad
R
R
Vannix
D
D
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002056:Burns / Q000150:complications*; D004298:Dopamine / Q000008:administration & dosage; D019453:Escherichia coli O157 / Q000302:isolation & purification; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007223:Infant; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D004298:Dopamine