Southern Clinics of Istanbul Eurasia (Jan 2019)
Development Of Haemolytic Uremic Syndrome İn Renal Transplant Recipient: Typhoid Fever; A Case Report And Brief Summary Of The Literature.
Abstract
Haemolytic Uremic Syndrome (HUS) is characterized by microangiopathic haemolytic anaemia, thrombocytopenia and acute renal failure. Typhoid fever caused by salmonella typhi, a systemic infectious disease which affects many organs, is rarely encountered in clinical practice. As a result of the developments in food industry, salmonella bacteraemia has not caused endemics as typhoid fever in recent years as before. Especially in high risk groups, it may cause high mortality and morbidity if left untreated. We presented a 31-year-old kidney transplant patient with diarrhoea, rash, macroscopic haematuria, oliguria, microangiopathic haemolytic anaemia and cultivated salmonella typhi in blood cultures. It is the first case of haemolytic uremic syndrome due to typhoid fever in renal transplant recipient in the literature.
Keywords