All issues > Volume 47(2); 2004

Case Report

Korean J Pediatr. 2004;47(2):217-222. Published online February 15, 2004.

Atypical Hemolytic Uremic Syndrome Associated with Streptococcus pneumoniae Infection

Hyun Sug HS Lee¹, Ja Wook JW Koo¹, Sang Woo SW Kim¹, Hyun Soon HS Lee²

¹Department of Pediatrics, College of Medicine, Inje University, Seoul, Korea
²Department of Pathology, College of Medicine, Seoul National University, Seoul, Korea

Correspondence Ja Wook JW Koo ,Email: koojw9@paik.ac.kr

Abstract

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.

Keywords :Atypical hemolytic uremic syndrome, Streptococcus pneumoniae