Abstract
We report a 13 month old male with haemolytic uraemic syndrome (HUS) associated with Klebsiella empyema. He presented with fever, gastroenteritis and respiratory distress. Investigations showed left pleural effusion, and HUS. Blood and pleural exudate cultures grew Klebsiella pneumoniae. He died during chest tube insertion. Post mortem showed fibrinous empyema. Renal histology confirmed HUS. Klebsiella has not been previously described to cause HUS. This is the first case of HUS and empyema associated with invasive K. pneumoniae in the Niger Delta Region. Key words: Acute renal failure, empyema, Haemolytic uraemic syndrome and Klebsiella.
Highlights
Haemolytic uraemic syndrome, (HUS) is characterized by acute renal failure, (ARF), haemolytic anaemia, and thrombocytopenia, Loirat et al (1984)
Data associating empyema and HUS are rare but a recent report suggests that one third of under-2year olds with empyema are at risk of developing HUS, Nyman et al (2009)
We report this case of a 13 month old male with HUS and empyema following infection in which only Klebsiella pneumoniae was isolated
Summary
Haemolytic uraemic syndrome associated with Klebsiella empyema-case report and literature review. We report a 13 month old male with haemolytic uraemic syndrome (HUS) associated with Klebsiella empyema. He presented with fever, gastroenteritis and respiratory distress. Investigations showed left pleural effusion, and HUS. Blood and pleural exudate cultures grew Klebsiella pneumoniae. Klebsiella has not been previously described to cause HUS. This is the first case of HUS and empyema associated with invasive K. pneumoniae in the Niger Delta Region
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
