A Case of Hemolytic Uremic Syndrome Induced by Pneumococcal Infection

Sim, Yoon-Hee; Choi, Eung-Sang; Lim, In-Seok; Sim, Yoon-Hee; Choi, Eung-Sang; Lim, In-Seok

Journal of the Korean Society of Pediatric Nephrology 2002;6(2): 237-242.

폐구균 감염으로 유발된 용혈성 요독 증후군 ( Hemolytic Uremic Syndrome) 1례

심윤희, 최응상, 임인석

¹중앙대학교 의과대학 소아과학교실
²중앙대학교 의과대학 소아과학교실
³중앙대학교 의과대학 소아과학교실

A Case of Hemolytic Uremic Syndrome Induced by Pneumococcal Infection

Yoon-Hee Sim, Eung-Sang Choi, In-Seok Lim

¹Departments of Pediatrics, College of Medicine, Chung Ang University
²Departments of Pediatrics, College of Medicine, Chung Ang University
³Departments of Pediatrics, College of Medicine, Chung Ang University

ABSTRACT

Hemolytic Uremic Syndrome (HUS) is the most common cause of acute renal failure in children and is comprised of the combination of hemolytic anemia, thrombocytopenia, and acute renal failure. Atypical HUS, rare in childhood, has worse prognosis than that of typical HUS and is associated with chemotherapy drug, other bacterial (especially Streptococcus pneumoniae) or viral infections, and so on. We report a case of HUS caused by pneumococcal infection in 4-year-old boy. While he was admitted with pneumonia and pleural effusion, pneumococcal infection could be revealed. Although HUS progressed rapidly, he immediately received 3-time hemodialysis and recovered completely after two weeks.

Key words: Hemolytic uremic syndrome | Atypical HUS | Acute renal failure | S.pneumoniae | Hemodialysis