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Case Reports
. 2006 Jun 30;47(3):437-9.
doi: 10.3349/ymj.2006.47.3.437.

A case of hemolytic uremic syndrome caused by Escherichia coli O104:H4

Woo Kyun Bae  1 , Youn Kyoung Lee, Min Seok Cho, Seong Kwon Ma, Soo Wan Kim, Nam Ho Kim, Ki Chul Choi
Affiliations
Case Reports

A case of hemolytic uremic syndrome caused by Escherichia coli O104:H4

Woo Kyun Bae et al. Yonsei Med J. .

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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Figures

Fig. 1
Fig. 1
Peripheral blood smear showed polychromasia, anisocytosis and schistocytes, consistent with microangiopathic hemolytic anemia (hematoxylin and eosin, × 400).
See this image and copyright information in PMC

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