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Titolo:
Thrombotic stroke in a child with diarrhea-associated hemolytic-uremic syndrome with a good recovery
Autore:
Nakahata, T; Tanaka, H; Tateyama, T; Ueda, T; Suzuki, K; Osari, S; Kasai, M; Waga, S;
Indirizzi:
Hirosaki Univ, Sch Med, Dept Pediat, Hirosaki, Aomori 0368562, Japan Hirosaki Univ Hirosaki Aomori Japan 0368562 rosaki, Aomori 0368562, Japan Hirosaki Municipal Hosp, Div Pediat, Hirosaki, Aomori 0368182, Japan Hirosaki Municipal Hosp Hirosaki Aomori Japan 0368182 mori 0368182, Japan
Titolo Testata:
TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE
fascicolo: 1, volume: 193, anno: 2001,
pagine: 73 - 77
SICI:
0040-8727(200101)193:1<73:TSIACW>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXTRARENAL INVOLVEMENT; MANIFESTATIONS; INFECTION; CYTOKINES;
Keywords:
central nervous system involvement; continuous hemodiafiltration; favorable outcome; hemolytic-uremic syndrome; stroke;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Tanaka, H Hirosaki Univ, Sch Med, Dept Pediat, 5 Zaifu Cho, Hirosaki, Aomori 0368562, Japan Hirosaki Univ 5 Zaifu Cho Hirosaki Aomori Japan 0368562 2, Japan
Citazione:
T. Nakahata et al., "Thrombotic stroke in a child with diarrhea-associated hemolytic-uremic syndrome with a good recovery", TOH J EX ME, 193(1), 2001, pp. 73-77

Abstract

A boy aged 3.5 years with post-diarrheal hemolytic-uremic syndrome (HUS) was referred to our hospital because of convulsion and stupor. He had been admitted to a regional hospital With a 3-day history of bloody diarrhea, colic abdominal pain and fever. Two days later, he had complained of generalized seizures and oliguria. On admission, he developed anuria, and serum blood nitrogen and creatinine increased to 56 mg/100 ml and 2.8 mg/100 ml, respectively. Platelets decreased to 42 000/mu1. Under the diagnosis of HUS, a continuous hemodiafiltration treatment had to be instituted. Computed tomography of his head at hospital day 5 revealed abnormal low density area of infarction with edema in both the basal ganglia involving with the posteriorlimb of internal capsule. Serum titer of IgM antibody to Escherichia coli O157 showed positive value. Although his anuria and stupor persisted over 10 days, he recovered without serious complications. These clinical observations may indicate that patients with similar lesions do not necessarily have serious morbidity. -central nervous system involvement; continuous hemodiafiltration; favorable outcome; hemolytic-uremic syndrome; stroke (C) 2001 Tohoku University Medical Press.

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Documento generato il 01/04/20 alle ore 11:40:14