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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 48 - 52 (5page)
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Streptococcus pneumoniae associated hemolytic uremic syndrome (SpHUS) is one of the causes of atypical hemolytic uremic syndrome, and increasingly reported. They are more severe and leave more long-term sequelae than more prevalent, typical hemolytic uremic syndrome. But it is not so easy to diagnose SpHUS for several reasons (below), and there was no diagnostic criteria of consensus. A 18 month-old-girl with sudden onset of oliguria and generalized edema was admitted through the emergency room. She had pneumonia with pleural effusion and laboratory findings of HUS, DIC, and positive direct Coombs’ test. As DIC or SpHUS was suspected, we started to treat her with broad spectrum antibiotics, transfusion of washed RBC and replacement of antithrombin III. On the 3rd day, due to severe hyperkalemia and metabolic acidosis, continuous renal replacement therapy (CRRT) was started. She showed gradual improvement in 4 days on CRRT and discharged in 16 days of hospital care. At the follow up to one year, she has maintained normal renal function without proteinuria and hypertension. We report this case with review of articles including recently suggested diagnostic criteria of SpHUS.
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참고문헌 (14)
참고문헌 신청
/ 1997 / Therapy for children with invasive pneumococcal infections / Pediatrics 99 : 289 ~ 299
Ault BH / 2000 / Factor H and the pathogenesis of renal diseases / Pediatr Nephrol 14 : 1045 ~ 1053
Banerjee R / 2011 / Streptococcus pneumoniae- associated hemolytic uremic syndrome among children in North America / Pediatr Infect Dis J 30 : 736 ~ 739
Cabrera GR / 1998 / Hemolytic uremic syndrome associated with invasive Streptococcus pneumoniae infection / Pediatrics 101 : 699 ~ 703
Chen SY / 2011 / Nonenteropathic hemolytic uremic syndrome: the experience of a medical center / Pediatr Neonatol 52 : 73 ~ 77
Ault BH / 2000 / Factor H and the pathogenesis of renal diseases / Pediatr Nephrol 14 : 1045 ~ 1053
Banerjee R / 2011 / Streptococcus pneumoniae- associated hemolytic uremic syndrome among children in North America / Pediatr Infect Dis J 30 : 736 ~ 739
Cabrera GR / 1998 / Hemolytic uremic syndrome associated with invasive Streptococcus pneumoniae infection / Pediatrics 101 : 699 ~ 703
Chen SY / 2011 / Nonenteropathic hemolytic uremic syndrome: the experience of a medical center / Pediatr Neonatol 52 : 73 ~ 77
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