[A case of hemolytic uremic syndrome with hemorrhagic colitis due to Escherichia coli O111 infection].
Shiga toxin producing E. coli (STEC) may cause severe hemorrhagic colitis followed by hemolytic uremic syndrome (HUS). In Korea, there had been a few case reports of HUS by STEC, mostly due to O157 serotype. The reports of HUS caused by STEC non-O157 serotype were rare. We report a sporadic case of HUS associated with hemorrhagic colitis. A 51-year-old woman was admitted to our hospital due to intractable abdominal pain and bloody diarrhea. Three days after admission, azotemia and microangiopathic hemolysis developed. E. coli, serotype O111 was identified. Conservative management with plasmapheresis resulted in a complete recovery.
Kim
Jong Pyo
JP
Department of Internal Medicine, Hanyang University College of Medicine, Guri, Korea.
Han
Dong Soo
DS
Paik
Chang Hee
CH
Chung
Yong Woo
YW
Kim
Jin Bae
JB
Sohn
Joo Hyun
JH
Hahm
Joon Soo
JS
D003092:Colitis / Q000150:complications / Q000382:microbiology*; D004926:Escherichia coli / Q000145:classification*; D004927:Escherichia coli Infections / Q000150:complications / Q000382:microbiology*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006463:Hemolytic-Uremic Syndrome / Q000150:complications / Q000382:microbiology*; D006801:Humans; D008875:Middle Aged; D012703:Serotyping