title: A case of hemolytic uremic syndrome caused by Escherichia coli O104:H4.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Chonnam National University Medical School, Dong-gu, Gwangju 501-757, Korea.
authors.forename: Woo Kyun
authors.initials: WK
authors.lastname: Bae
authors.forename: Youn Kyoung
authors.initials: YK
authors.lastname: Lee
authors.forename: Min Seok
authors.initials: MS
authors.lastname: Cho
authors.forename: Seong Kwon
authors.initials: SK
authors.lastname: Ma
authors.forename: Soo Wan
authors.initials: SW
authors.lastname: Kim
authors.forename: Nam Ho
authors.initials: NH
authors.lastname: Kim
authors.forename: Ki Chul
authors.initials: KC
authors.lastname: Choi
mesh_terms: D000328:Adult; D004926:Escherichia coli / Q000145:classification*; D004927:Escherichia coli Infections / Q000150:complications*; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000382:microbiology*; D006801:Humans