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A case of hemolytic uremic syndrome caused by Escherichia coli O104:H4
Woo Kyun Bae1, Youn Kyoung Lee, Min Seok Cho
1Department of Internal Medicine, Chonnam National University Medical School, Dong-gu, Gwangju 501-757, Korea.
Abstract:
A 29-year-old woman presented with bloody diarrhea, abdominal pain, hemolytic anemia, thrombocytopenia, and acute renal failure. She was diagnosed with Escherichia coli O104:H4-associated hemolytic-uremic syndrome (HUS) and treated with plasmapheresis and hemodialysis for 3 weeks. She recovered without sequelae. To the best of our knowledge, this is the first report of Escherichia coli O104:H4-associated HUS in Korea. We recommend that Escherichia coli O104:H4, as well as the more common O157:H7, be considered in the diagnosis of bloody diarrhea-associated HUS.
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