Hemolytic uremic syndrome with mild renal involvement due to Shiga toxin-producing Escherichia coli (STEC) O145 strain
Hemolytic uremic syndrome (HUS) is a disorder characterized by the presence of the classic triad: microangiopathic hemolytic anemia, thrombocytopenia and acute renal injury. HUS without acute renal failure can be confused with other hematologic diseases. An infantile HUS caused by a Shiga-toxin-prod...
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doaj-9fe389580a3b419ba5c9045df3e174762020-11-25T03:08:11ZengElsevier EspañaRevista Argentina de Microbiología1851-7617462103106S0325-75412014000200006Hemolytic uremic syndrome with mild renal involvement due to Shiga toxin-producing Escherichia coli (STEC) O145 strainLucía Pérez0Lucía Apezteguía1Cecilia Piñeyrúa2Agustín Dabezies3María N Bianco4Felipe Schelotto5Gustavo Varela6Universidad de la RepúblicaMutualista Médica UruguayaMutualista Médica UruguayaMutualista Médica UruguayaUniversidad de la RepúblicaMutualista Médica UruguayaUniversidad de la RepúblicaHemolytic uremic syndrome (HUS) is a disorder characterized by the presence of the classic triad: microangiopathic hemolytic anemia, thrombocytopenia and acute renal injury. HUS without acute renal failure can be confused with other hematologic diseases. An infantile HUS caused by a Shiga-toxin-producing Escherichia coli (STEC) O145 strain carrying genotype stx2, ehxA, eae subtype ?1 is herein reported. The infant did not require dialysis during the acute stage of HUS, evolved favorably, maintained normal blood pressure and normal renal function and had no recurrence until the last control. This could be due to several factors, such as the characteristics of infecting STEC strain and a reduction in host susceptibility to renal injury. This report highlights the regional participation of non-O157 STEC in childhood diseases and the importance of performing active surveillance for all forms of HUS.http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0325-75412014000200006&lng=en&tlng=enSUHSTEC no-O157Falla renalEsquizocitos |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lucía Pérez Lucía Apezteguía Cecilia Piñeyrúa Agustín Dabezies María N Bianco Felipe Schelotto Gustavo Varela |
spellingShingle |
Lucía Pérez Lucía Apezteguía Cecilia Piñeyrúa Agustín Dabezies María N Bianco Felipe Schelotto Gustavo Varela Hemolytic uremic syndrome with mild renal involvement due to Shiga toxin-producing Escherichia coli (STEC) O145 strain Revista Argentina de Microbiología SUH STEC no-O157 Falla renal Esquizocitos |
author_facet |
Lucía Pérez Lucía Apezteguía Cecilia Piñeyrúa Agustín Dabezies María N Bianco Felipe Schelotto Gustavo Varela |
author_sort |
Lucía Pérez |
title |
Hemolytic uremic syndrome with mild renal involvement due to Shiga toxin-producing Escherichia coli (STEC) O145 strain |
title_short |
Hemolytic uremic syndrome with mild renal involvement due to Shiga toxin-producing Escherichia coli (STEC) O145 strain |
title_full |
Hemolytic uremic syndrome with mild renal involvement due to Shiga toxin-producing Escherichia coli (STEC) O145 strain |
title_fullStr |
Hemolytic uremic syndrome with mild renal involvement due to Shiga toxin-producing Escherichia coli (STEC) O145 strain |
title_full_unstemmed |
Hemolytic uremic syndrome with mild renal involvement due to Shiga toxin-producing Escherichia coli (STEC) O145 strain |
title_sort |
hemolytic uremic syndrome with mild renal involvement due to shiga toxin-producing escherichia coli (stec) o145 strain |
publisher |
Elsevier España |
series |
Revista Argentina de Microbiología |
issn |
1851-7617 |
description |
Hemolytic uremic syndrome (HUS) is a disorder characterized by the presence of the classic triad: microangiopathic hemolytic anemia, thrombocytopenia and acute renal injury. HUS without acute renal failure can be confused with other hematologic diseases. An infantile HUS caused by a Shiga-toxin-producing Escherichia coli (STEC) O145 strain carrying genotype stx2, ehxA, eae subtype ?1 is herein reported. The infant did not require dialysis during the acute stage of HUS, evolved favorably, maintained normal blood pressure and normal renal function and had no recurrence until the last control. This could be due to several factors, such as the characteristics of infecting STEC strain and a reduction in host susceptibility to renal injury. This report highlights the regional participation of non-O157 STEC in childhood diseases and the importance of performing active surveillance for all forms of HUS. |
topic |
SUH STEC no-O157 Falla renal Esquizocitos |
url |
http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0325-75412014000200006&lng=en&tlng=en |
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