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Pneumococcal hemolytic uremic syndrome and steroid resistant nephrotic syndrome
Journal article   Open access   Peer reviewed

Pneumococcal hemolytic uremic syndrome and steroid resistant nephrotic syndrome

Andrew P. Groves, Patrick Reich, Binayak Sigdel and T. Keefe Davis
Clinical kidney journal, Vol.9(4), pp.572-575
05/04/2016
DOI: 10.1093/ckj/sfw025
PMCID: PMC4957713
PMID: 27478599
url
https://doi.org/10.1093/ckj/sfw025View
Published (Version of record) Open Access

Abstract

Pneumococcal-associated hemolytic uremic syndrome (pHUS) is a rare but severe complication of invasive Streptococcus pneumoniae infection. We report the case of a 12-year-old female with steroid-resistant nephrotic syndrome treated with adrenocorticotrophic hormone ( H.P. Acthar ® Gel), who developed pneumococcal pneumonia and subsequent pHUS. While nephrotic syndrome is a well-known risk factor for invasive pneumococcal disease, this is the first reported case of pHUS in an adolescent patient with nephrotic syndrome, and reveals novel challenges in the diagnosis, treatment and potential prevention of this complication.
Acthar hemolytic nephrotic streptococcus Thrombotic Microangiopathy uremic

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