We describe a case of pulmonary bleeding and subsequent acute respiratory distress syndrome (ARDS) in a 20-month-old female suffering from a typical postdiarrheal hemolytic-uremic syndrome (HUS). Acute renal failure was treated early by peritoneal dialysis. It is of interest to underline that thrombocytopenia or any coagulative impairment was absent when this complication occurred, and spontaneous diuresis recovery was ongoing. All examinations failed to identify a unique site of bleeding in the main stem bronchi or trachea. Complete renal and clinical recovery was obtained in spite of this very uncommon complication. Intensivists should be aware of this rare and potentially fatal complication of typical (D+)HUS.
Dr. M. Piastra
Terapia Intensiva Pediatrica
Policlinico Gemelli, L.go Gemelli 8
IT–00168 Roma (Italy)
Tel. +39 06 3015 5203, Fax +39 06 3052 751, E-Mail firstname.lastname@example.org
Received: June 10, 2003
Accepted after revision: October 15, 2003
Number of Print Pages : 5
Number of Figures : 3, Number of Tables : 0, Number of References : 16
Respiration (International Journal of Thoracic Medicine)
Vol. 71, No. 5, Year 2004 (Cover Date: September-October 2004)
Journal Editor: C.T. Bolliger, Cape Town
ISSN: 0025–7931 (print), 1423–0356 (Online)
For additional information: http://www.karger.com/res
Article / Publication Details
Published online: 10/6/2004
Number of Print Pages: 5
Number of Figures: 3
Number of Tables: 0
ISSN: 0025-7931 (Print)
eISSN: 1423-0356 (Online)
For additional information: http://www.karger.com/RES
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