Mohammed Javed, Filler Guido, Price April, Sharma Ajay P
Department of Paediatrics, Children's Hospital at London Health Science Centre, University of Western Ontario, London, Ontario, Canada.
Nephrol Dial Transplant. 2009 Feb;24(2):679-81. doi: 10.1093/ndt/gfn649. Epub 2008 Nov 25.
The spectrum of extra-renal involvement secondary to diarrhoeal (D+) haemolytic uraemic syndrome (HUS) includes neurological, gastrointestinal, hepatic, pancreatic and cardiac complications. Among the cardiac complications, myocardial injury has been more commonly reported with HUS. Literature is scarce on HUS-associated pericardial involvement. We report a HUS-induced significant pericardial effusion that resulted in a cardiac tamponade. We also discuss the diagnostic and therapeutic implications of this complication.
腹泻相关性(D+)溶血性尿毒症综合征(HUS)继发的肾外受累范围包括神经、胃肠、肝、胰腺和心脏并发症。在心脏并发症中,HUS更常出现心肌损伤。关于HUS相关心包受累的文献较少。我们报告了1例由HUS引起的大量心包积液,导致心脏压塞。我们还讨论了这一并发症的诊断和治疗意义。