Liver Research Unit, Medica Sur Clinic and Foundation, Mexico City 14050, Mexico.
World J Gastroenterol. 2018 Feb 14;24(6):763-766. doi: 10.3748/wjg.v24.i6.763.
Nowadays acute gastroenteritis infection caused by () O157:H7 is frequently associated with hemolytic uremic syndrome (HUS), which usually developed after prodromal diarrhea that is often bloody. The abdominal pain accompanied by failure kidney is a suspicious symptom to develop this disorder. Their pathological characteristic is vascular damage which manifested as arteriolar and capillary thrombosis with abnormalities in the endothelium and vessel walls. The major etiological agent of HUS is enterohemorragic () strain belonging to serotype O157:H7. The lack of papers about HUS associated to gastroenteritis lead us to report this case for explain the symptoms that are uncommon. Furthermore, this report provides some strategies to suspect and make an early diagnosis, besides treatment approach to improving outcomes and prognosis for patients with this disorder.
如今，由 () O157:H7 引起的急性肠胃炎感染常伴有溶血性尿毒症综合征 (HUS)，其通常发生在常伴有血性腹泻的前驱期之后。腹痛伴有肾功能衰竭是发生这种疾病的可疑症状。其病理特征是血管损伤，表现为小动脉和毛细血管血栓形成，内皮和血管壁异常。HUS 的主要病原体是属于血清型 O157:H7 的肠出血性 () 菌株。由于缺乏与肠胃炎相关的 HUS 论文，我们报告了这个病例，以解释不常见的症状。此外，本报告还提供了一些策略来怀疑和早期诊断这种疾病，以及治疗方法来改善患者的预后。
