title: An adult case of combined encephalopathy and hemolytic uremic syndrome caused by Escherichia coli O157.
abstract: We report a 28-year-old woman with O157 enterohemorrhagic colitis-associated hemolytic uremic syndrome in whom seizures and transient hemiparesis developed on the 12th day after admission to hospital. Her subsequent recovery was characterized by improvements in renal function and platelet count. The patient recovered after treatment with steroid pulse and plasma exchange therapy, without any sequelae. As there have been few reports on the onset of encephalopathy in adults, we report this interesting case, with reference to the literature for possible effective treatment.
authors.affiliation: Department of Gastroenterology and Hepatology, Ishikawa Prefectural Central Hospital. masashi4432@gmail.com
authors.forename: Masashi
authors.initials: M
authors.lastname: Yoshimitsu
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Hayashi
authors.forename: Yoshibumi
authors.initials: Y
authors.lastname: Kaneko
authors.forename: Hisashi
authors.initials: H
authors.lastname: Doyama
mesh_terms: D000328:Adult; D004660:Encephalitis / Q000209:etiology*; D004927:Escherichia coli Infections / Q000150:complications*; D019453:Escherichia coli O157; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000209:etiology*; D006801:Humans