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Korean J Infect Dis. 1997 May;29(3):243-246. Korean. Case Report.
Yun JS , Lee JM , Kim NS , Kim KY , Lee WK , Kim SH , Chun CH .
Department of Internal Medicine, Kyungpook National University, Taegu, Korea.
Department of Clinical Pathology, Kyungpook National University, Taegu, Korea.
Department of School of Medicine, Kyungpook National University, Taegu, Korea.
Department of Laboratory of Enteric Bacteria3, National Institute of Health, Seoul, Korea.
Abstract

We report a case of hemolytic uremic syndrome (HUS) associated with hemorrhagic colitis. A 35-year-old man was admitted to a local hospital because of abdominal pain and watery diarrhea that had developed about 6 hours after taking roast beef. He was treated with intravenous fluids and antibiotics, but watery diarrhea changed to bloody in nature from the next day. He was transferred to our hospital due to progressive ascites and jaundice on his 8th day of illness. Examinations revealed ascites, jaundice, microangiopathic hemolytic anemia, thrombocytopenia and uremia. Sorbitol-negative Escherichia coli was isolated from his stool, which proved as Shiga-like toxin-negative E. coli, serotype O25. His conditions improved markedly after three times of plasmapheresis and intravenous fluid therapy, and the organism was not isolated from the follow-up stool culture.

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