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Case Reports
. 2015 Aug:37:113-4.
doi: 10.1016/j.ijid.2015.06.015. Epub 2015 Jun 30.

Fatal case of hemolytic-uremic syndrome in an adult due to a rare serogroup O91 Entero hemorrhagic Escherichia coli associated with a Clostridium difficile infection. More than meets the eye

Thomas Guillard  1 , Anne Limelette  2 , Elisabeth Le Magrex-Debar  3 , Alain Wynckel  4 , Malika Gouali  5 , Patricia Mariani-Kurkdjian  6 , Charlotte Guyot-Colosio  4 , Christophe de Champs  2
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Free article
Case Reports

Fatal case of hemolytic-uremic syndrome in an adult due to a rare serogroup O91 Entero hemorrhagic Escherichia coli associated with a Clostridium difficile infection. More than meets the eye

Thomas Guillard et al. Int J Infect Dis. 2015 Aug.
Free article

Abstract

Hemolytic-uremic syndrome due to enterohemorrhagic Escherichia coli, belonging to serogroup O91 has rarely been described. We report here a case of post-diarrheal HUS due to EHEC O91 in an elderly patient for whom diagnosis was delayed given a previously diagnosed C. difficile infection. This case highlights the usefulness of Shiga-toxin detection.

Keywords: Clostridium difficile; Escherichia coli; Hemolytic Uremic Syndrome.

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