Microbiology

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Hemolytic uremic syndrome (HUS)

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Microbiology

Definition

Hemolytic Uremic Syndrome (HUS) is a serious condition characterized by the destruction of red blood cells, leading to kidney failure. It often follows an infection in the digestive system, particularly by Escherichia coli (E. coli) bacteria.

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5 Must Know Facts For Your Next Test

  1. HUS is most commonly caused by Shiga toxin-producing E. coli (STEC), particularly the O157:H7 strain.
  2. Symptoms of HUS include bloody diarrhea, abdominal pain, vomiting, decreased urination, and fatigue.
  3. It predominantly affects children under the age of 5 years but can also occur in adults.
  4. The primary mechanism involves Shiga toxins that damage endothelial cells in small blood vessels, leading to hemolysis and renal failure.
  5. Diagnosis is based on clinical symptoms and laboratory findings such as low platelet count, elevated serum creatinine, and fragmented red blood cells on a blood smear.

Review Questions

  • What is the most common bacterial cause of Hemolytic Uremic Syndrome?
  • What are the primary symptoms associated with HUS?
  • How do Shiga toxins contribute to the pathogenesis of HUS?

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