Microangiopathic Anemia without Thrombocytopenia and Kidney Disease in a Child with Diarrhea Caused by Shiga Toxin–ProducingEscherichia coli
Author(s) -
Paul W. Meier,
Jana Pachlopnik Schmid,
Nicolas von der Weid,
Christoph Rudin,
Mario G. Bianchetti
Publication year - 2004
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/381100
Subject(s) - medicine , microangiopathic hemolytic anemia , shiga toxin , diarrhea , microbiology and biotechnology , escherichia coli , toxin , urinalysis , hemolytic anemia , anemia , thrombotic thrombocytopenic purpura , immunology , platelet , urinary system , biology , biochemistry , gene
A child with a history of diarrhea presented with transient anemia, reticolucytosis, and red blood cell fragmentation. Blood pressure and levels of blood platelets, creatinine, and urea were normal, as were results of urinalysis. Escherichia coli harboring genes for Shiga toxin were detected in stool specimens. It is concluded that extraintestinal diseases caused by Shiga toxin-producing bacteria sometimes present without any renal involvement.
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