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Síndrome hemolítico urémico secundario a Streptococcus pneumoniae. Reporte de un caso clínico

Streptococcus pneumoniae associated hemolytic uremic syndrome (Sp-HUS) is an uncommon complication of invasive pneumococcal infections. Patients with Sp-HUS have a higher mortality and long term morbidity than those due to HUS from Shiga toxin-producing Escherichia coli infections (STEC-HUS). They o...

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Autore principale: Salveraglio Hernández de Souza, Rafaela (author)
Altri autori: Alonso Zurmendi, Emilia (author), Badía de Ferrari, Federica (author), Pujadas Ferrer, Mónica (author), Pírez, María Catalina (author)
Natura: article
Lingua:spagnolo
Pubblicazione: 2023
Soggetti:
Síndrome hemolítico urémico
Hemolytic uremic syndrome
Streptococcus pneumoniae
Insuficiencia renal
Renal failure
Anemia
Plaquetopenia
Thrombocytopenia
Neumonía
Pneumonia
SÍNDROME HEMOLÍTICO-URÉMICO
INFECCIONES NEUMOCÓCIAS
NEUMONÍA NEUMOCÓCIA
TROMBOCITOPENIA
Accesso online:https://hdl.handle.net/20.500.12008/54106
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Riassunto:Streptococcus pneumoniae associated hemolytic uremic syndrome (Sp-HUS) is an uncommon complication of invasive pneumococcal infections. Patients with Sp-HUS have a higher mortality and long term morbidity than those due to HUS from Shiga toxin-producing Escherichia coli infections (STEC-HUS). They often require more red blood cells and platelet transfusions, and early initiation of renal substitution therapy, presenting a higher rate of arterial hypertension and chronic renal disease in the long term, compared to STEC-HUS. We report a healthy 2 year-old infant, vaccinated with three doses PCV13, that developed acute renal failure, hemolytic anemia and thrombocytopenia in the course of a complicated pneumococcal pneumonia with empyema and bacteremia.

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