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Article: Common association of haemolytic uraemic syndrome with invasive Streptococcus pneumoniae infection in five Chinese paediatric patients

TitleCommon association of haemolytic uraemic syndrome with invasive Streptococcus pneumoniae infection in five Chinese paediatric patients
Authors
KeywordsHemolytic-uremic syndrome
Pneumococcal infections
Serotyping
Streptococcus pneumoniae
Vaccination
Issue Date2011
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2011, v. 17 n. 3, p. 237-241 How to Cite?
AbstractHaemolytic uraemic syndrome is an important cause of acute renal impairment in childhood. We review the incidence, and clinical and laboratory features of haemolytic uraemic syndrome in a Chinese population. Five patients were identified from 2006 to 2008. All patients were young children with associated invasive Streptococcus pneumoniae pulmonary infection. Serotypes 3, 14, and 19A were confirmed in four patients. The classical post-diarrhoeal form associated with Escherichia coli (O157:H7) infection was not seen. One patient died of acute respiratory failure. Streptococcus pneumoniae infection, as an associated condition in haemolytic uraemic syndrome, is important and relatively common in Chinese patients, especially among children. The acute clinical picture is similar to that reported in the western literature, except for an uncommon association with meningitis. The medium-term renal outcome of the Chinese population appears to be more favourable than the Caucasians. Widespread vaccination against Streptococcus pneumoniae may have resulted in changes in bacterial epidemiology and clinicians should be continuously aware of this severe disease. The use of washed blood components for transfusion in the acute stage requires further study.
Persistent Identifierhttp://hdl.handle.net/10722/139915
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorSo, CCen_HK
dc.contributor.authorLeung, YYen_HK
dc.contributor.authorYip, SFen_HK
dc.contributor.authorChan, SYen_HK
dc.contributor.authorLam, CCKen_HK
dc.contributor.authorChan, GCFen_HK
dc.contributor.authorChim, Sen_HK
dc.contributor.authorChan, LCen_HK
dc.date.accessioned2011-09-23T06:01:08Z-
dc.date.available2011-09-23T06:01:08Z-
dc.date.issued2011en_HK
dc.identifier.citationHong Kong Medical Journal, 2011, v. 17 n. 3, p. 237-241en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/139915-
dc.description.abstractHaemolytic uraemic syndrome is an important cause of acute renal impairment in childhood. We review the incidence, and clinical and laboratory features of haemolytic uraemic syndrome in a Chinese population. Five patients were identified from 2006 to 2008. All patients were young children with associated invasive Streptococcus pneumoniae pulmonary infection. Serotypes 3, 14, and 19A were confirmed in four patients. The classical post-diarrhoeal form associated with Escherichia coli (O157:H7) infection was not seen. One patient died of acute respiratory failure. Streptococcus pneumoniae infection, as an associated condition in haemolytic uraemic syndrome, is important and relatively common in Chinese patients, especially among children. The acute clinical picture is similar to that reported in the western literature, except for an uncommon association with meningitis. The medium-term renal outcome of the Chinese population appears to be more favourable than the Caucasians. Widespread vaccination against Streptococcus pneumoniae may have resulted in changes in bacterial epidemiology and clinicians should be continuously aware of this severe disease. The use of washed blood components for transfusion in the acute stage requires further study.en_HK
dc.languageengen_US
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Academy of Medicine Press.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectHemolytic-uremic syndromeen_HK
dc.subjectPneumococcal infectionsen_HK
dc.subjectSerotypingen_HK
dc.subjectStreptococcus pneumoniaeen_HK
dc.subjectVaccinationen_HK
dc.subject.meshHemolytic-Uremic Syndrome - microbiology-
dc.subject.meshPneumococcal Infections - complications - microbiology-
dc.subject.meshRespiratory Insufficiency - microbiology-
dc.subject.meshRespiratory Tract Infections - microbiology-
dc.subject.meshStreptococcus pneumoniae - classification - isolation and purification-
dc.titleCommon association of haemolytic uraemic syndrome with invasive Streptococcus pneumoniae infection in five Chinese paediatric patientsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=17&issue=3&spage=237&epage=240&date=2011&atitle=Common+association+of+haemolytic+uraemic+syndrome+with+invasive+Streptococcus+pneumoniae+infection+in+five+Chinese+paediatric+patients-
dc.identifier.emailSo, CC:scc@pathology.hku.hken_HK
dc.identifier.emailLeung, YY:mleung04@hku.hken_HK
dc.identifier.emailChan, GCF:gcfchan@hkucc.hku.hken_HK
dc.identifier.authoritySo, CC=rp00391en_HK
dc.identifier.authorityLeung, YY=rp01522en_HK
dc.identifier.authorityChan, GCF=rp00431en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.pmid21636872-
dc.identifier.scopuseid_2-s2.0-79958727204en_HK
dc.identifier.hkuros192280en_US
dc.identifier.hkuros195998-
dc.identifier.hkuros187931-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79958727204&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue3en_HK
dc.identifier.spage237en_HK
dc.identifier.epage241en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridSo, CC=7102919978en_HK
dc.identifier.scopusauthoridLeung, YY=34978641900en_HK
dc.identifier.scopusauthoridYip, SF=7102133678en_HK
dc.identifier.scopusauthoridChan, SY=7404255082en_HK
dc.identifier.scopusauthoridLam, CCK=16947291300en_HK
dc.identifier.scopusauthoridChan, GCF=16160154400en_HK
dc.identifier.scopusauthoridChim, S=6701728225en_HK
dc.identifier.scopusauthoridChan, LC=37121600200en_HK

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