Microangiopathic anemia without thrombocytopenia and kidney disease in a child with diarrhea caused by Shiga toxin-producing Escherichia coli.
A child with a history of diarrhea presented with transient anemia, reticolucytosis, and red blood cell fragmentation. Blood pressure and levels of blood platelets, creatinine, and urea were normal, as were results of urinalysis. Escherichia coli harboring genes for Shiga toxin were detected in stool specimens. It is concluded that extraintestinal diseases caused by Shiga toxin-producing bacteria sometimes present without any renal involvement.
Meier
Paul W
PW
University Children's Hospital Bern, Switzerland.
Pachlopnik
Jana M
JM
von der Weid
Nicolas X
NX
Rudin
Christoph
C
Bianchetti
Mario G
MG
D000743:Anemia, Hemolytic / Q000139:chemically induced / Q000209:etiology* / Q000382:microbiology; D002648:Child; D003967:Diarrhea / Q000209:etiology / Q000382:microbiology*; D004912:Erythrocytes / Q000378:metabolism; D004926:Escherichia coli / Q000737:chemistry; D004927:Escherichia coli Infections / Q000150:complications*; D006461:Hemolysis; D006801:Humans; D007223:Infant; D007674:Kidney Diseases / Q000209:etiology; D008297:Male; D022621:Shiga Toxin / Q000737:chemistry / Q000633:toxicity*; D013921:Thrombocytopenia / Q000209:etiology
D022621:Shiga Toxin