title: Hemolytic uremic syndrome associated with group A beta-hemolytic streptococcus.
abstract: Group A beta-hemolytic streptococcal (GABS) hemorrhagic colitis due to Streptococcus pyogenes is extremely rare and its association with hemolytic uremic syndrome (HUS) in children has not been described. We report a 9-year-old white male who developed biopsy-proven HUS while continuing to have GABS-positive bloody diarrhea. Renal function deteriorated rapidly requiring intermittent hemodialysis. Three months following discharge, his renal function is normal for age except for significant proteinuria.
authors.affiliation: Department of Pediatrics, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505, USA.
authors.forename: Amy B
authors.initials: AB
authors.lastname: Shepherd
authors.forename: April L
authors.initials: AL
authors.lastname: Palmer
authors.forename: Steven A
authors.initials: SA
authors.lastname: Bigler
authors.forename: Radhakrishna
authors.initials: R
authors.lastname: Baliga
mesh_terms: D001706:Biopsy; D002648:Child; D003092:Colitis / Q000382:microbiology; D003967:Diarrhea / Q000382:microbiology; D006471:Gastrointestinal Hemorrhage / Q000382:microbiology; D006463:Hemolytic-Uremic Syndrome / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D007668:Kidney / Q000382:microbiology / Q000473:pathology; D008297:Male; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes