A case of hemolytic uremic syndrome caused by Escherichia coli O104:H4.
A 29-year-old woman presented with bloody diarrhea, abdominal pain, hemolytic anemia, thrombocytopenia, and acute renal failure. She was diagnosed with Escherichia coli O104:H4-associated hemolytic-uremic syndrome (HUS) and treated with plasmapheresis and hemodialysis for 3 weeks. She recovered without sequelae. To the best of our knowledge, this is the first report of Escherichia coli O104:H4-associated HUS in Korea. We recommend that Escherichia coli O104:H4, as well as the more common O157:H7, be considered in the diagnosis of bloody diarrhea-associated HUS.
Bae
Woo Kyun
WK
Department of Internal Medicine, Chonnam National University Medical School, Dong-gu, Gwangju 501-757, Korea.
Lee
Youn Kyoung
YK
Cho
Min Seok
MS
Ma
Seong Kwon
SK
Kim
Soo Wan
SW
Kim
Nam Ho
NH
Choi
Ki Chul
KC
D000328:Adult; D004926:Escherichia coli / Q000145:classification*; D004927:Escherichia coli Infections / Q000150:complications*; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000382:microbiology*; D006801:Humans