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題名 | Hemolytic Uremic Syndrome Associated with Invasive Streptococcus Pneumoniae Infection: Report of One Case=侵犯性肺炎鏈球菌肺炎造成之溶血性尿毒症候群:一病例報告 |
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作者 | 歐俊彥; 邱益煊; 張振宗; 邱晴嵐; 施振弘; 謝凱生; Ou, Chun-yen; Chiou, Yee-hsuan; Chang, Jenn-tzong; Chiu, Ching-lan; Shih, Chen-hung; Hsieh, Kai-sheng; |
期刊 | 臺灣兒科醫學會雜誌 |
出版日期 | 20051100、20051200 |
卷期 | 46:6 民94.11-12 |
頁次 | 頁381-384+410 |
分類號 | 417.5351 |
語文 | eng |
關鍵詞 | 溶血性尿毒症候群; 肺炎鏈球菌; Thomsen-Friedenreich抗原; 腎衰竭; 連續性靜脈血液透析過濾術; Hemolytic uremic syndrome; Streptococcus pneumoniae; Thomsen-Friedenreich antigen; Renal failure; Continuous veno-venous hemodiafiltration; |
英文摘要 | Hemolytic uremic syndrome (HUS) most commonly follows an episode of gastroenteritis associated with Escherichia coli (O157 : H7). S. pneumoniae-associated HUS is rare and has been reported having a high morbidity and mortality rate. We present a 1-year-5-month-old girl who developed S. pneumoniae-associated HUS and positive T-activation testing. She received antibiotics, washed red blood cell transfusion and early continuous venovenous hemodiafiltration treatment. She had chronic renal failure but was without other sequelae after 8 months, follow-up. Early dialysis intervention in S. pneumoiae-induced HUS patients decreasing the morbidity and mortality rate is discussed, and the literature is reviewed. |
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