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

28 Citations (Scopus)

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

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Shiga Toxin
Hemolytic-Uremic Syndrome
Escherichia coli O157
Bacteremia
Urinary Tract Infections
Diarrhea
Anti-Bacterial Agents
Shiga-Toxigenic Escherichia coli
Gastrointestinal Tract
Sepsis
Escherichia coli
Therapeutics
Infection

ASJC Scopus subject areas

  • Medicine(all)

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Adult nondiarrhea hemolytic uremic syndrome associated with Shiga toxin Escherichia coli O157 : H7 bacteremia and urinary tract infection. / Chiurchiu, Carlos; Firrincieli, Anna; Santostefano, Marisa; Fusaroli, Maurizio; Remuzzi, Giuseppe; Ruggenenti, Piero.

In: American Journal of Kidney Diseases, Vol. 41, No. 1, 01.01.2003, p. E4.

Research output: Contribution to journalArticle

Chiurchiu, Carlos ; Firrincieli, Anna ; Santostefano, Marisa ; Fusaroli, Maurizio ; Remuzzi, Giuseppe ; Ruggenenti, Piero. / Adult nondiarrhea hemolytic uremic syndrome associated with Shiga toxin Escherichia coli O157 : H7 bacteremia and urinary tract infection. In: American Journal of Kidney Diseases. 2003 ; Vol. 41, No. 1. pp. E4.
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