[Invasive pneumococcal disease and hemolytic uremic syndrome].
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.
Fàbregas Martori
A
A
Unidad de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain.
Moraga-Llop
F
F
Nieto Rey
J
J
Figueras Nadal
C
C
Soler Palacín
P
P
Roqueta Mas
J
J
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