Leichter H, Hellwege H H, Altrogge H
Monatsschr Kinderheilkd. 1982 Nov;130(11):849-51.
After an upper respiratory tract infection an eight months old infant developed a severe hemolytic uremic syndrome with anemia, thrombocytopenia and anuria. Remarkable was a lesion of the erythrocytes by neuraminidase producing microorganisms. By early hemodialysis, blood transfusions and accurate fluid therapy the acute stage could be managed. The proceeding course was complicated by hypertension, seizures, coma, abdominal pain attacks and a fibrinous hemorrhagic pericarditis, which made an incomplete pericardectomy necessary. Although it came again to diuresis a severe chronic renal failure with its concluding effects as anemia, acidosis, hypertension and inanition resulted. After a four months period the patient died of biventricular congestive heart failure.
一名8个月大的婴儿在上呼吸道感染后患上了严重的溶血性尿毒症综合征，伴有贫血、血小板减少和无尿。值得注意的是，红细胞受到了产生神经氨酸酶的微生物的损害。通过早期血液透析、输血和精确的液体疗法，急性期得以控制。后续病程因高血压、癫痫发作、昏迷、腹痛发作和纤维蛋白性出血性心包炎而复杂化，这使得必须进行不完全心包切除术。尽管再次出现利尿，但仍导致了严重的慢性肾衰竭，并伴有贫血、酸中毒、高血压和营养不良等最终后果。4个月后，患者死于双心室充血性心力衰竭。
