Barit Gonca, Sakarcan Abdullah
Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
Eur J Pediatr. 2005 Jul;164(7):414-6. doi: 10.1007/s00431-005-1662-7. Epub 2005 Mar 31.
The hemolytic uremic syndrome (HUS) is the most common cause of acute renal failure in young children and most often follows an episode of gastroenteritis caused by an enterohemorrhagic strain of Escherichia coli (O157:H7). HUS induced by Streptococcus pneumoniae (SP) is rare. We report an 18-month-old patient who presented with HUS associated with SP resistant to penicillin and cephalosporins.
Despite a protracted course including renal failure requiring 15 days of peritoneal dialysis, her kidney function completely recovered.
溶血尿毒综合征(HUS)是幼儿急性肾衰竭最常见的病因,多数情况下继发于由肠出血性大肠杆菌(O157:H7)引起的肠胃炎发作之后。肺炎链球菌(SP)诱发的HUS较为罕见。我们报告一名18个月大的患者,其出现了与对青霉素和头孢菌素耐药的肺炎链球菌相关的HUS。
尽管病程迁延,包括肾衰竭需要进行15天的腹膜透析,但她的肾功能完全恢复。