A Case Report Of Haemolytic Uraemic Syndrome Following An Episode Of Gastroenteritis.

Abstract

Haemolytic uraemic syndrome (HUS) is a serious condition characterized by haemolytic anemia, thrombocytopenia, and acute kidney injury, frequently following an infection with Shiga toxin-producing Escherichia coli. We present the case of an 11-year-old female who developed HUS two weeks after an episode of gastroenteritis. She presented with decreased urine output, pallor, and hypertension. Laboratory findings revealed microangiopathic haemolytic anemia, thrombocytopenia, and acute renal failure, confirming the diagnosis of HUS. She was managed with supportive care, including intravenous fluids, blood transfusions, and renal replacement therapy. Her condition gradually improved, and she was discharged after three weeks with normalized renal function and hematologic parameters. This case highlights the critical importance of early recognition and management of HUS in pediatric patients presenting with post-diarrheal symptoms and acute kidney injury. Reviewing similar cases underscores the variability in clinical presentations and outcomes, emphasizing the need for prompt, individualized care strategies.