Hemolytic uremic syndrome: A case report

Abstract

A 4-year old male, of asian descent, was brought into the emergency department with abdominal cramps, vomiting and bloody diarrhoea that had started 24 hours before her admission. The patient was had vomited 4 times before he came in for admission, and was passing grossly bloody stools. The parents did not notice any precipitating events before the onset of symptoms, nor had he eaten anything out of the ordinary. On a detailed history and a physical examination, it was noted that the child was extremely dehydrated, did not tolerate oral feeds, irritable, with sunken eyes. No pallor, icterus or any skin rash was noted. The patient did exhibit tenderness, in the lower abdominal area, without rigidly, guarding or other signs that suggested peritonitis. Immediate intravenous access with 0.9% Normal saline was started and a diagnosis of gastroenterocolitis was considered initially, but as the patient's abdominal pain worsened, the possibility of a perforated appendix was considered. Imme-

Hemolytic Uremic Syndrome: A Case Report

“…HUS can be established by laboratory examination, such as a complete blood count, with differential, and peripheral blood smear, renal functions studies, and urinalysis. The microangiopathic hemolytic anemia in HUS can be confirmed with hemoglobin and a hematocrit level, and this anemia is typically coombs negative in character 6 . Our patient also presented with diarrhea and lab investigation showed thrombocytopenia(schistocytes>12% which is significant), and decreased hemoglobin with a deranged renal function test .…”