Ko Eun Young, Kim Joo Young, Lee Hye Jin, Lee Hyun Seung, Han Ji Whan, Kim Young Hoon, Kim Jin Tack, Cheong Hae Il, Jang Pil Sang
Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Korean J Pediatr. 2011 Apr;54(4):176-8. doi: 10.3345/kjp.2011.54.4.176. Epub 2011 Apr 30.
Hemolytic-uremic syndrome (HUS) is the most common cause of acute renal failure in young children. It is classically characterized by the triad of microangiopathic hemolytic anemia, thrombocytopenia, and uremia. Further, not only is intussusception one of the differential diagnoses of HUS but it may also become a complication during disease progression. We report a case of HUS preceded by intussusception in a previously healthy 17-month-old boy. The patient presented at the emergency department with bloody stools that developed the day after reduction of intussusception. HUS was diagnosed 4 days after the reduction of intussusception. The patient was provided only supportive care and his laboratory test findings were normal at discharge.
溶血尿毒综合征(HUS)是幼儿急性肾衰竭最常见的病因。其典型特征为微血管病性溶血性贫血、血小板减少和尿毒症三联征。此外,肠套叠不仅是HUS的鉴别诊断之一,还可能在疾病进展过程中成为一种并发症。我们报告一例17个月大的健康男孩,在肠套叠后发生HUS。该患者因肠套叠复位后次日出现血便而就诊于急诊科。肠套叠复位4天后诊断为HUS。患者仅接受了支持性治疗,出院时实验室检查结果正常。