Korean J Pediatr Infect Dis.  2008 Dec;15(2):206-211. 10.14776/kjpid.2008.15.2.206.

A Case of Hemolytic Uremic Syndrome Complicated by Pneumococcal Necrotizing Pneumonia

• Cho EY
• Choe YJ
• Lee SH
• Cho HY
• Lee J
• Choi EH
• Ha IS
• Cheong HI
• Lee HJ
• Choi Y

• KMID: 2439934
• DOI: http://doi.org/10.14776/kjpid.2008.15.2.206

Abstract

Streptococcus pneumoniae is a common cause of acute otitis media, sinusitis, pneumonia, and the invasive bacterial infections in children. Rarely, S. pneumoniae is an uncommon cause of hemolytic-uremic syndrome (HUS). We report a 33 month-old girl who presented with pneumonia, and subsequently developed HUS. Her pulmonary infection was complicated by necrotizing pneumonia and acute respiratory distress syndrome. Cultures from blood and pleural fluid grew S. pneumoniae, serotype 19A. She was treated with antibiotics, dialysis and mechanical ventilatory support. She was discharged with normal renal function after 2 months of management. She remained healthy without renal complications at the 5 year follow-up visit.

Keyword

Streptococcus pneumoniae; Hemolytic-uremic syndrome; Necrotizing pneumonia

MeSH Terms

Anti-Bacterial Agents
Bacterial Infections
Child
Dialysis
Female
Follow-Up Studies
Hemolytic-Uremic Syndrome*
Humans
Otitis Media
Pneumonia*
Respiratory Distress Syndrome, Adult
Serogroup
Sinusitis
Streptococcus pneumoniae
Anti-Bacterial Agents