Korean J Crit Care Med.
2014 Feb;29(1):43-47. 10.4266/kjccm.2014.29.1.43.
Delayed Hemolytic Uremic Syndrome Presenting as Diffuse Alveolar Hemorrhage
- Affiliations
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- 1Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. pms70@yuhs.ac
- KMID: 2227803
- DOI: http://doi.org/10.4266/kjccm.2014.29.1.43
Abstract
- Hemolytic uremic syndrome (HUS) is defined by the triad of mechanical intravascular hemolytic anemia with schistocytosis, thrombocytopenia and acute renal failure. Pulmonary involvement in HUS is known to be rare. We present the case of a 25-year-old male with diffuse alveolar hemorrhage and myocarditis followed by atypical hemolytic uremic syndrome. In this case, successful treatments included steroid pulse therapy for the fatal alveolar hemorrhage and plasma exchange for the hemolytic uremic syndrome.
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