title: [Invasive pneumococcal disease and hemolytic uremic syndrome].
abstract: BACKGROUND
  Streptococcus pneumoniae is an infrequent casual agent of hemolytic uremic syndrome (HUS) with more severity than classic HUS.
  
  
  METHODS
  We present two patients with pneumococcal pneumonia and empyema who developed HUS. One patient the renal function returned to normal and the other needed a renal transplantation.
  
  
  CONCLUSIONS
  Pneumococcal invasive disease may be a cause of severe HUS, so a high index of suspicion is mandatory to prompt appropriate diagnosis and management.
authors: Unidad de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain.
authors: A
authors: A
authors: Fàbregas Martori
authors: F
authors: F
authors: Moraga-Llop
authors: J
authors: J
authors: Nieto Rey
authors: C
authors: C
authors: Figueras Nadal
authors: P
authors: P
authors: Soler Palacín
authors: J
authors: J
authors: Roqueta Mas
mesh_terms: D006463:Hemolytic-Uremic Syndrome / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D007223:Infant; D016030:Kidney Transplantation; D008297:Male; D011008:Pneumococcal Infections / Q000150:complications*; D051437:Renal Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D012720:Severity of Illness Index; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D014463:Ultrasonography