Journal on Medical Casereports - BJSTR Journal

Abstract

#Haemolytic-uremic syndrome is a rare but serious condition, which is featured by the triad of: acute renal failure, #microangiopathic haemolytic anemia and #thrombocytopenia associating with viral or bacterial etc. etiologies. However, we present an unprovoked case of HUS in a 2-year-old male case.

#Hemolytic Uremic Syndrome (HUS) is a rare life-threatening disorder. It is recognized by hemolysis, thrombocytopenia, and acute renal failure. Organs comprising the brain, intestines, pancreas, heart, and lungs might be influenced and damaged during the condition, [1-4]. It is frequently precipitated by gastroenteritis but provoked by bacterial or viral infection especially in pediatric cases. An etiological review of previous reported cases with HUS will be given in the following as well [3-5]. Even if we dedicated attention on HUS risk related with bacterial/viral infections, we identified a 2-year-old male baby compatible with HUS features, most probably without any potential known endo/exogenous triggers whose interesting report will be narrated as below.We are reporting the case of a 2-year-old male #Caucasian baby who was hospitalized with 8 days history acute severe watery diarrhea gradually reduced into a bloody low-volume diarrhea, accompanied with vomiting, intermittent fever and weakened general condition but no coriza symptoms; unresponsive to home-administered medication-ibuprofen, acetaminophen except for fever. He was born from a consanguineous marriage with no significant past medical history. At the time of admission, his physical examination revealed pale skin, dry lips, decreased skin turgor, no #pharyngeal hyperemia, no budging fontanel, respiratory rate of 28 breaths per minute, blood pressure (BP): 67 / 50mmHg, heart rate (HR) of 122 beats per minute (bpm), food refusal, and bloody stools.

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An Unprovoked Haemolytic-Uremic Syndrome; A Unique Case Report by Seyyed Mohsen Hosseininejad in BJSTR