Hemolytic uremic syndrome associated with Shiga toxin producing Escherichia coli infection in a healthy adult woman.
A 49-year-old healthy Japanese woman presented with hemorrhagic diarrhea because of Shiga toxin producing Escherichia coli infection, and then hemolytic uremic syndrome (HUS) developed in the patient. She was successfully treated with continuous hemodiafiltration, plasma exchange, and endotoxin adsorption therapy. An analysis of previous case reports suggests that females aged between 16 and 65 years are at an increased risk of HUS resulting from hemorrhagic colitis. We propose that adult female patients with hemorrhagic colitis should be carefully monitored regardless of their medical history, physical presentation, or laboratory data.
Kanno
Yukiko
Y
Second Department of Internal Medicine, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima.
Kobayashi
Hiroko
H
Rai
Tsuyoshi
T
Kanno
Kaori
K
Watanabe
Kenya
K
Obara
Katsutoshi
K
Sato
Yukio
Y
D003092:Colitis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D003131:Combined Modality Therapy; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006440:Hemofiltration / Q000379:methods; D006463:Hemolytic-Uremic Syndrome / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D010951:Plasma Exchange / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D022621:Shiga Toxin / Q000009:adverse effects*; D016896:Treatment Outcome
D022621:Shiga Toxin