title: Streptococcus pneumoniae-associated haemolytic uremic  syndrome following influenza A virus infection.
abstract: Influenza virus is a seasonal cause of community-acquired pneumonia, and Streptococcus pneumoniae is one of the most common pathogens causing secondary bacterial pneumonia. S. pneumoniae-induced haemolytic uremic syndrome is an uncommon condition mainly observed in young children. We present a patient who had invasive pneumococcal disease and haemolytic uremic syndrome. Simultaneous viral cultures grew influenza A. To the best of our knowledge, this is the first such reported case.
authors.affiliation: Division of Pediatric Emergency Medicine, Chang Gung Children's Hospital, Chan Gung Memorial Hospital, Chang Gung University College of Medicine, 5 Fu-Shing Street, Kweishan 333, Taoyuan, Taiwan, Republic of China.
authors.forename: Tzu-Hui
authors.initials: TH
authors.lastname: Lei
authors.forename: Shao-Hsuan
authors.initials: SH
authors.lastname: Hsia
authors.forename: Chang-Teng
authors.initials: CT
authors.lastname: Wu
authors.forename: Jainn-Jim
authors.initials: JJ
authors.lastname: Lin
mesh_terms: D002675:Child, Preschool; D004279:DNA, Viral / Q000032:analysis*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006463:Hemolytic-Uremic Syndrome / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000235:genetics*; D007251:Influenza, Human / Q000150:complications* / Q000175:diagnosis / Q000821:virology; D011018:Pneumonia, Pneumococcal / Q000175:diagnosis / Q000209:etiology*; D016133:Polymerase Chain Reaction; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*
chemical_list: D004279:DNA, Viral