Therapeutic plasma exchange in Streptococcus pneumoniae-associated hemolytic uremic syndrome: a case report.
Streptococcus pneumoniae-associated hemolytic uremic syndrome (pHUS) is an atypical form of HUS associated with microangiopathic hemolytic anemia, thrombocytopenia and acute renal failure. Although less common than diarrhea-associated HUS, incidence appears to be increasing. We report a case of a child with pHUS who underwent a course of therapeutic plasma exchange (TPE) and had complete recovery. This report adds to the existing literature supporting TPE in cases of pHUS.
Department of Pathology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. Melissa.L.Petras@hitchcock.org
Melissa L
ML
Petras
Nancy M
NM
Dunbar
James J
JJ
Filiano
Matthew S
MS
Braga
Michael C
MC
Chobanian
Zbigniew M
ZM
Szczepiorkowski
D065766:Atypical Hemolytic Uremic Syndrome; D002675:Child, Preschool; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000097:blood / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D010951:Plasma Exchange; D010976:Platelet Count; D011008:Pneumococcal Infections / Q000150:complications*; D016896:Treatment Outcome