January 25 2011 (Tuesday) - H.U.S.



Haemolytic-uraemic syndrome (HUS) is a disease characterized by hemolytic anemia, acute renal failure causing uremia and thrombocytopenia. Predominantly (but not exclusively) affecting children; most cases are preceded by an episode of diarrhea caused by E. coli O157:H7 acquired as a foodborne illness.
It carries a 5–10% mortality; of the remainder, the majority recover without major consequences but a small proportion develop chronic kidney disease and become reliant on renal replacement therapies


DUCK, DONALD
DOB  06/03/2009 Sex F Pat No 99816806     Source    PAD  Received  19:51
Address   DISNEYLAND
Diagnosis diarrhea, E.Coli 0157 POSITIVE.? HUS
Specimen No   :  AW372191Z               Selected Auth Level : S

 HB     5.8    Q000  MONO   2.9    Q000
 WBC    26.7   Q000  EOS    0.2    Q000
 PLT    86     Q000  BASO   0.1    Q000
 RBC    2.37   Q000  ~F1   ^LS     Q008
 HCT    0.170  Q000  ~F2   ^FILMW  Q008
 MCV    73.0   Q000
 MCH    24.5   Q000
 MCHC   33.5   Q000
 NEUH   10.6   Q000
 LYMPH  12.9   Q000

LTG comments : F,FR
 

This case is a good example of the condition – note the anaemia and thrombocytopenia. The bldd film shows fragmented cells, poikilocytes and spherocytes

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