Hemolytic Uremic Syndrome (Hus)
Description
A condition affecting the kidneys following destruction of red blood cells from a gastrointestinal infection caused by E.coli bacteria. The salmonella and shigella bacteria have also been implicated in this syndrome. This condition most commonly affects children resulting in the most common cause of acute kidney failure in this age group.
Symptoms
Blood in stools, vomiting, diarrhea, fever, weakness, decreased urine output, and confusion
Tests
A history and physical will be performed. Blood and urine samples will be obtained to evaluate kidney function, red blood cells, white blood cells, platelets and the chemical balance of the blood (electrolytes). A kidney biopsy may be done.
- CBC
- Chem 12
- Partial throboplastin time
- Protime
- Stool culture
- UA
Treatment
Therapy depends on the severity of the illness. Patients with serious symptoms or kidney damage may receive intravenous (IV) fluids, dialysis, and/or plasmapheresis (plasma exchange).
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