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Hemolytic uremic syndrome following complicated appendicitis in a child: what is the missing link?
Alexis Belgacem1, Hortense Miane2, Wasfi Fillali3
1Pediatric Surgery Department, Hôpital Mère-Enfant, University Hospital Centre of Limoges, 8 Avenue Dominique Larrey, Limoges, France.
Abstract:
We herein describe an 18-month-old boy who underwent initially successful surgical and antibiotic treatment of complicated appendicitis with postoperative occurrence of hemolytic uremic syndrome (HUS). This complication was due to Shiga toxin-producing Escherichia coli (STEC) found secondarily in rectal swabs but not in the peritoneal cavity. The literature indicates that a causal link may exist between these two entities, and HUS could be considered an iatrogenic complication of appendicitis management due to a multimodal stress effect in non-symptomatic STEC carriers.
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