title: Hemolytic uremic syndrome associated with Shiga toxin producing Escherichia coli infection in a healthy adult woman.
abstract: 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.
authors.affiliation: Second Department of Internal Medicine, Fukushima Medical University School of Medicine, Hikarigaoka, Fukushima.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Kanno
authors.forename: Hiroko
authors.initials: H
authors.lastname: Kobayashi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Rai
authors.forename: Kaori
authors.initials: K
authors.lastname: Kanno
authors.forename: Kenya
authors.initials: K
authors.lastname: Watanabe
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Obara
authors.forename: Yukio
authors.initials: Y
authors.lastname: Sato
mesh_terms: 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
chemical_list: D022621:Shiga Toxin