Adult nondiarrhea hemolytic uremic syndrome associated with Shiga toxin Escherichia coli O157: H7 bacteremia and urinary tract infection

Carlos Chiurchiu, Anna Firrincieli, Marisa Santostefano, Maurizio Fusaroli, Giuseppe Remuzzi, Piero Ruggenenti

Research output: Contribution to journalArticle

Abstract

About 15% of children with Shiga toxin (Stx) producing Escherichia coli (STEC) primarily of serotype O157:H7, gastrointestinal infection, and watery or bloody diarrhea, may develop hemolytic uremic syndrome (D+ HUS). Usually D+ HUS is not complicated by bacteremia and patients recover spontaneously without antibiotic treatment. We report here an adult case of a STEC O157:H7 urinary tract infection complicated by bacteremia and HUS that was not preceded by diarrhea (D- HUS). Cases of D- HUS need to be carefully examined for foci other than the gastrointestinal tract, and patients with E coli bacteremia should receive early antibiotic treatment as would any patient with sepsis.

Original languageEnglish
Pages (from-to)E4
JournalAmerican Journal of Kidney Diseases
Volume41
Issue number1
Publication statusPublished - Jan 1 2003

ASJC Scopus subject areas

  • Medicine(all)

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