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Hemolytic uremic syndrome associated with group A beta-hemolytic streptococcus

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Abstract

Group A beta-hemolytic streptococcal (GABS) hemorrhagic colitis due to Streptococcus pyogenes is extremely rare and its association with hemolytic uremic syndrome (HUS) in children has not been described. We report a 9-year-old white male who developed biopsy-proven HUS while continuing to have GABS-positive bloody diarrhea. Renal function deteriorated rapidly requiring intermittent hemodialysis. Three months following discharge, his renal function is normal for age except for significant proteinuria.

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Authors and Affiliations

  1. Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi, USA

    Amy B. Shepherd, April L. Palmer & Radhakrishna Baliga

  2. Department of Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA

    Steven A. Bigler

  3. Department of Pediatrics, Division of Nephrology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505, USA

    Radhakrishna Baliga

Authors
  1. Amy B. Shepherd
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  2. April L. Palmer
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  3. Steven A. Bigler
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  4. Radhakrishna Baliga
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Correspondence to Radhakrishna Baliga.

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Shepherd, A.B., Palmer, A.L., Bigler, S.A. et al. Hemolytic uremic syndrome associated with group A beta-hemolytic streptococcus. Pediatr Nephrol 18, 949–951 (2003). https://doi.org/10.1007/s00467-003-1191-4

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  • DOI: https://doi.org/10.1007/s00467-003-1191-4

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