Hemolytic Uremic Syndrome

General Information

Hemolytic uremic syndrome (HUS)is a disease that results in red blood cell destruction (microangiopathic hemolytic anemia), low platelet count (thrombocytopenia), and can eventually result in kidney failure (renal failure).

ecoli-micrographThere are three main types of HUS. The most infamous type is that which results from bloody diarrhea caused by E. coli O157:H7 infections, primarily infections in children under the age of 5 and the elderly. HUS occurs in less that 7% of E. coli O157:H7 cases.

There is also a form of adult HUS that is a rare side effect of HIV, antiphospholipid syndromoe, post partum renal failure, malignant hypertension, sclerodema, and cancer chemotherapy.

The third form of HUS is Familial HUS which is due to a genetic defect that leads to the uncontrolled activation of the complement system (a part of both the innate and acquired immune response that helps destroy pathogens).

There has been a lot of concern that the use of antibiotics to treat E. coli infections can in fact cause an increased risk for HUS. A 2000 study by Wong et. al. (The risk of the hemolytic-uremic syndromoe after antibiotic treatment of Escherichia coli O157:H7 infections) reported that there did appear to be an increased risk of developing HUS if treated with antibiotics. However, a more recent study that compiled research on HUS and E. coli O157:H7 antibiotic treatment by Safdar et. al. (Risk of hemolytic uremic syndromoe after antibiotic treatment of Escherichia coli O157:H7 enteritis: a meta-analysis) found that there was in fact on apparent statistical increase of HUS infections when antibiotics were used for E. coli O157:H7.

For information about E. coli, please see the following:

Pritzker | Ruohonen has a national practice and represents E. coli victims throughout the United States. To contact the firm, please call toll-free at 1-888-377-8900 or submit the online contact form.

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