WH CHOY, YW HUI, WM LAI, MC CHIU

Abstract

Haemolytic uraemic syndrome is an unusual and serious complication of pneumococcal sepsis. We reported a boy presenting with pneumococcal sepsis who subsequently developed haemolytic anaemia, thrombocytopenia and acute renal failure. Washed red cell products, platelet concentrates and renal replacement therapy had been instituted in this patient. The boy recovered well and needed periodic evaluation of long term renal outcome.

溶血尿毒綜合徵是肺炎球菌性膿毒血症的非常見的嚴重併發症。本文報導一例患肺炎球菌性膿毒血症的男孩最後導致溶血性貧血，血小板減少症和急性腎功能衰竭。洗滌紅細胞，濃縮血小板及腎功能替代療法被應用於該患兒。該患兒已痊癒，其長期腎臟改變仍需定期監測。