PEDIATRICS Vol. 91 No. 3 March 1993, pp. 666-668
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Recurrent Hemolytic Uremic Syndrome Secondary to Escherichia coli 0157:H7 Infection

RICHARD L. SIEGLER MD1, PATRICIA M. GRIFFIN MD2, TIMOTHY J. BARRETT PHD2, and NANCY A. STROCKBINE PHD2

1 Division of Nephrology and Hypertension, Dept of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT
2 Division of Bacterial and Mycotic Disease, National Center for Infectious Diseases, Centers for Disease Control, Atlanta, GA

Recurrence of the hemolytic uremic syndrome (HUS) is unusual; most recurrent cases are atypical,1 that is, not preceded by the customary diarrheal prodrome. We report a case in which results of serologic tests and stool culture provided evidence that both the initial episode and the recurrence followed diarrhea caused by Escherichia coli 0157:H7. This child was previously described because of severe ocular involvement that followed the initial HUS episode.2)

CASE REPORT

A 16-month-old white boy from rural Idaho was in good health until about 1 week before admission, when a respiratory tract infection complicated by otitis media developed. He was treated with amoxicillin.

Submitted on April 2, 1992
Accepted on October 1, 1992




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