Therapeutic plasma exchange (TPE) has evolved to an accepted therapy for selected indications. The aim is to remove putative disease mediators from the body. It is technically challenging in children but has become increasingly common practices for last several decades. We report a successful case of TPE along with renal replacement therapy in a 3-year-5-month old boy, weighing 15kg, diagnosed as atypical haemolytic uremic syndrome (aHUS). To the best of our knowledge TPE and Haemodialysis for such age and weight was for the first time in Bangladesh.
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