Publication: Hemolytic Uremic Syndrome: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Thrombotic microangiopathy is a pathological condition comprised of microvascular thrombosis involving any body organ leading to thrombocytopenia, coombs-negative hemolytic anemia, and end-organ damage. The clinical presentation of the case shows typical hemolytic uremic syndrome, however, lab reports show atypical hemolytic uremic syndrome (low C3). Pain abdomen and loose stool with some signs of dehydration were initial presentations. Early initiation of renal replacement therapy and management of dehydration was done. Simple diarrhea can also manifest as acute kidney injury with the hemolytic uremic syndrome. Hence we should keep hemolytic uremic syndrome as the differential diagnosis of diarrhea. Irrespective of lab parameters, early management in line with the typical hemolytic uremic syndrome should be done for better outcomes.
Description
Sandesh Gaire
Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
Mandira Shrestha
Department of Paediatrics, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
Chaitanya Darshan Bhattarai
Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
Susajjan Dhungana
Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
Surakshya Gyawali
Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
Arun Bajgain
Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
Keywords
Anemia, Case reports, Dehydration, Renal replacement therapy