A Rare Case Presentation of Haemolytic Uremic Syndrome in Post Caesarean Section in Adult Female

Sangani, Mehul A; Airao, Bhavesh B.; Pandya, Manish R

doi:10.5958/2394-2754.2015.00010.7

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2022

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“…Atypical HUS can be sporadic or familial and the disease may occur overall without a gastrointestinal prodrome and these patients have a poor outcome among them 50% may progress to end stage renal disease or irreversible brain damage. 2 Most cases of pregnancy-associated HUS occur during postpartum period. Alexandra et al found 76% cases presenting during post-partum period and Fakhouri et al observed 79% incidence in postpartum period.…”

Section: Other Investigationsmentioning

confidence: 99%

A rare case report of haemolytic uremic syndrome in post caesarean section

Gaikwad¹,

Deshmukh²,

Godbole³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Haemolytic uremic syndrome (HUS) is a clinical syndrome characterised by progressive kidney failure associated with microangiopathic haemolytic anemia and thrombocytopenia. Women may be genetically predisposed to develop HUS which gets aggravated by pregnancy. We presented a case of 25 year old G2p1l1 with h/o 9 months amenorrhoea was admitted in active labour, underwent emergency caesarean section for non-progression of labour. Postoperatively patient had decreased urine output with unexplained thrombocytopenia with deranged renal function tests and increased serum LDH with normal coagulation profile and no any evidence of foci of infection for which HUS was suspected. Patient was treated with hemodialysis, plasmapheresis and other supportive medical treatment.

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Section: Other Investigationsmentioning

confidence: 99%