title: Biomarkers detect involvement of acute myocardial injury in a paediatric haemolytic-uraemic syndrome patient.
abstract: Although extrarenal manifestations of haemolytic-uraemic syndrome are not frequent, myocardial dysfunction should be given special consideration because of the importance of proper early haemodynamic management and potential complications. We report the case of a 21-month-old child with haemolytic-uraemic syndrome who developed clinical signs of poor myocardial function with depressed myocardial function noted by bedside echocardiography and significant elevation of biomarkers. Early intervention and supportive treatment for the patient were crucial during the acute phase of cardiac failure, and repeated monitoring of biomarkers and ecocardiography were useful diagnostic tools that provided relevant information throughout the patient's evolution.
authors.affiliation: 1Pediatric Intensive Care Unit,Department of Pediatrics,Hospital Infantil Universitario Miguel Servet,Zaragoza,Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Palanca Arias
authors.affiliation: 2Pediatric Cardiology Unit,Department of Pediatrics,Hospital Infantil Universitario Miguel Servet,Zaragoza,Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: López Ramón
authors.affiliation: 2Pediatric Cardiology Unit,Department of Pediatrics,Hospital Infantil Universitario Miguel Servet,Zaragoza,Spain.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Jiménez Montañés
mesh_terms: D015415:Biomarkers / Q000097:blood*; D009202:Cardiomyopathies / Q000150:complications*; D004452:Echocardiography; D004562:Electrocardiography; D006463:Hemolytic-Uremic Syndrome / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008297:Male; D019095:Point-of-Care Systems
chemical_list: D015415:Biomarkers
keywords: Haemolytic–uraemic syndrome; biomarkers; dilated cardiomyopathy; echocardiography; myocardial ischaemia