PMID: 14676604
Issn Print: 0277-2116
Publication Date: 2004/01/01
Pancreatic Pseudocyst Complicating Hemolytic-Uremic Syndrome
Laurent Rebouissoux; Brigitte Llanas; Philippe Jouvencel; Eric Dobremez; Muriel Brun; Michael Fayon; Thierry Lamireau
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Excerpt
Hemolytic-uremic syndrome (HUS) is the main cause of acute renal failure in young children (1). It is characterized by the association of hemolytic anemia with the presence of schizocytes, thrombocytopenia, and renal failure. Typical HUS occurs in children younger than 3 years old who have bloody diarrhea. Infection with Escherichia coli secreting verotoxin, usually of O157:H7 serotype, is found in 85% of the cases (2). Other bacteria, such as Streptococcus pneumoniae or Shigella dysenteriae, are less common etiologic agents. The availability of dialysis has virtually eliminated renal failure as a cause of death in the early stage of the disease, and extrarenal involvement is now a major contributor to morbidity and mortality (1,3). Clinically apparent pancreatitis is rare and usually self-limited (1). We report a girl with a pancreatic pseudocyst complicating the course of HUS.
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