Abstract
Streptococcus pneumoniae ( S. pneumoniae ) has been associated with hemolytic uremic syndrome (HUS), which is an unusual but serious disease in childhood. We conducted a retrospective review of children aged less than 18 years with S. pneumoniae -associated HUS in northern Taiwan from January 2000 to June 2005. The demographic characters, clinical courses, and outcomes were analyzed. Seven children (three girls, four boys) with S. pneumoniae -associated HUS were studied. The median age at onset of HUS was 40 months (range: 25-60 months). The median duration of hospital stay was 36 days (range: 15-50 days). The interval between the onset of illness attributable to S. pneumoniae and the development of HUS was around 1-2 weeks. The onset of oliguria developed within 2 weeks after illness. Six patients required dialysis with median duration of 16 days. Three patients had leukopenia as the initial presentation. All seven patients had pneumococcal pneumonia complicating with empyema, and two of them received decortication via video-assisted thoracoscopic surgery. Between patients who needed dialysis or not, there was no significant difference in age, sex, duration of thrombocytopenia, incidence of extra-renal complications, such as h...Continue Reading
References
Nov 12, 1977·Lancet·P J KleinR Fisher
Jan 1, 1990·Pediatric Pathology·R W Novak
Dec 1, 1995·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·C G PanS L Werlin
Aug 19, 1996·The Medical Journal of Australia·Y MizusawaW Mizushima
Apr 29, 1998·Pediatrics·G R CabreraB G Cooperstone
Jul 9, 1998·The Pediatric Infectious Disease Journal·R D Gilbert, A C Argent
Sep 17, 1998·Pediatrics·S L KaplanR Yogev
Aug 5, 2000·Transfusion·K P CrookstonN M Heddle
Feb 7, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D J Krysan, J T Flynn
May 17, 2001·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·S Nathanson, G Deschênes
Jul 24, 2001·Archives of Disease in Childhood·E J ElliottUNKNOWN Contributors to the Australian Paediatric Surveillance Unit
Mar 19, 2002·Emerging Infectious Diseases·Po-Ren HsuehKwen-Tay Luh
Aug 8, 2002·Pediatrics·John BrandtBradley Warady
Dec 3, 2003·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Kathrin BrunnerThomas J Neuhaus
Jan 10, 2004·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Joel B CochranFrederick W Tecklenburg
Mar 5, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Yu-Chia HsiehLi-Min Huang
Apr 8, 2004·Intensive Care Medicine·Alexandre BoyerGuy Bonmarchand
May 29, 2004·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Alex R ConstantinescuHoward Trachtman
Apr 15, 2005·Emerging Infectious Diseases·Richard M LynnGeraldine A Willshaw
Citations
Jun 15, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Lawrence Copelovitch, Bernard S Kaplan
Jul 28, 2010·The Pediatric Infectious Disease Journal·Jeffrey M BenderAndrew T Pavia
Jul 21, 2011·The Pediatric Infectious Disease Journal·Ritu BanerjeeUNKNOWN Emerging Infections Network Hemolytic-Uremic Syndrome Study Group
Oct 30, 2009·Journal of Paediatrics and Child Health·Chanel Prestidge, William Wong
Jun 22, 2013·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Agnes SzilágyiZoltán Prohászka
Dec 1, 2012·Journal of the Pediatric Infectious Diseases Society·Derek J Williams, Samir S Shah
Apr 29, 2011·Pediatrics and Neonatology·Shih-Yu ChenYu-Tsun Su
Nov 11, 2008·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·E MérieauS Cantagrel
Jun 6, 2008·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·N ChautempsJ-C Picaud
Jul 24, 2007·The Journal of Pediatrics·Aoife M WatersKjell Tullus
Jul 18, 2015·BMC Pediatrics·Hsiang-Ju HsiaoShao-Hsuan Hsia
Apr 2, 2010·Clinical Pediatrics·Haidee CustodioMobeen Rathore
May 9, 2014·Clinical Medicine Insights. Pathology·Victor C KokFung-Chang Sung
Jan 24, 2013·Journal of Korean Medical Science·Joon Young SongM Allen Moseley
Sep 27, 2013·The Pediatric Infectious Disease Journal·Alexandra LoupiacVincent Guigonis
May 26, 2018·Pediatric Research·Shambhuprasad K TogarsimalemathMarie-Agnes Dragon-Durey
Jul 11, 2013·The Pediatric Infectious Disease Journal·Angela F Veesenmeyer, M Bruce Edmonson
Jul 3, 2021·Pathogens·Hemant S Agarwal, Samir Q Latifi
Dec 23, 2009·Pediatrics·Lawrence Copelovitch, Bernard S Kaplan