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Atypical Hemolytic Uremic Syndrome Associated with Streptococcus pneumoniae Infection

Korean Journal of Pediatrics 2004;47(2):217-222.
Published online February 15, 2004.
Atypical Hemolytic Uremic Syndrome Associated with Streptococcus pneumoniae Infection
Hyun Sug Lee1, Ja Wook Koo1, Sang Woo Kim1, Hyun Soon Lee2
1Department of Pediatrics, College of Medicine, Inje University, Seoul, Korea
2Department of Pathology, College of Medicine, Seoul National University, Seoul, Korea
Streptococcus pneumoniae 감염에 동반된 비전형적 용혈성 요독 증후군 1례
이현숙1, 구자욱1, 김상우1, 이현순2
1인제대학교 의과대학 상계백병원 소아과학교실
2서울대학교 의과대학 병리학교실
Ja Wook Koo, Email: koojw9@paik.ac.kr
Hemolytic uremic syndrome is the most common cause of acute renal failure in childhood. Atypical hemolytic uremic syndrome which is not usually associated with prodromal symptoms has a higher mortality rate and more tendency to progress to chronic renal failure. Children younger than two years of age are a more susceptible to pneumococcal infection and can develop more serious disease. We report a 23 month-old male who suffered from pneumococcal pneumonia and progressed to hemolytic uremic syndrome requiring peritoneal dialysis. He recovered completely from acute renal failure after peritoneal dialysis and intravenous use of vancomycin.
Key Words: Atypical hemolytic uremic syndrome, Streptococcus pneumoniae

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