Abstract
Haemolytic uraemic syndrome (HUS) associated withYersinia enterocolitica gastroenteritis is reported in a 6-year-old girl.Y. enterocolitica of biotype 03 was isolated from the patient's initial stool sample and was subsequently identified as serotype 03 based on the rising agglutinin titres. This paper shows that yersiniosis should be suspected as a possible cause of HUS, and investigations should include the measurement of serum agglutinin titres against antigen preparations of the genusYersinia.
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References
Gasser WC, Gautier E, Steck A, Siebenmann RE, Oechslin R (1955) Hämolytisch urämische Syndrom: Bilaterale Nierenindennekrosen bei acuten erworbenen hämolytischen Anämien. Schweiz Med Wochenschr 85:905–909
Fong JSC, Chadarevian JP de, Kaplan BS (1982) Hemolytic-uremic syndrome: current concepts and management. Pediatr Clin North Am 29:835–856
Wauters G (1970) Contribution a l'étude deYersinia enterocolitica. Vander Nauwelaests, Bruxelles, pp 9–59
Habib R, Lévy M, Gagnadoux MF, Broyer M (1982) Prognosis of the hemolytic uremic syndrome in children. Adv Nephrol 11:99–128
Leino R, Kalliomäki JL (1974) Yersiniosis as an internal disease. Ann Intern Med 81:458–461
Kohl S (1979)Yersinia enterocolitica infections in children. Pediatr Clin North Am 26:433–443
Mäki M, Vesikari T, Rantala I, Grönroos P (1980) Yersiniosis in children. Arch Dis Child 55:861–865
Denneberg T, Friedberg M, Samuelsson T, Winblad S (1981) Glomerulonephritis in infections withYersinia enterocolitica O-serotype 3: evidence for glomerular involvement in acute cases of yersiniosis. Acta Med Scand 209: 97–101
Zen-yoji H, Maruyama T (1972) The first successful isolations and identification ofYersinia enterocolitica from human cases in Japan. Jpn J Microbiol 16:493–500
Prober CG, Tune B, Hoder L (1979)Yersinia pseudotuberculosis septicemia. Am J Dis Child 133:623–624
Karmali MA, Petric M, Lim C, Fleming PC, Arbus GS, Lior H (1985) The association between idiopathic hemolytic uremic syndrome and infection by verotoxin-producingEscherichia coli. J Infect Dis 151:775–782
Neill MA, Tarr PI, Clausen CR, Christie DL, Hickman RO (1987)Escherichia coli O157:H7 as the predominant pathogen associated with the hemolytic uremic syndrome: a prospective study in the Pacific Northwest. Pediatrics 80:37–40
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Tsukahara, H., Hayashi, S., Nakamura, K. et al. Haemolytic uraemic syndrome associated withYersinia enterocolitica infection. Pediatr Nephrol 2, 309–311 (1988). https://doi.org/10.1007/BF00858683
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DOI: https://doi.org/10.1007/BF00858683