Publication:
Hemolytic Uremic Syndrome: A Case Report

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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.

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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

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