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 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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