Published in:
01-12-2003 | Brief Report
Postpartum hemolytic uremic syndrome in a 17-year-old Filipina primigravid
Authors:
Francisco E. Anacleto, Christina L. Cifra, Joel S. Elises
Published in:
Pediatric Nephrology
|
Issue 12/2003
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Abstract
A 17-year-old Filipina primigravid developed acute renal failure secondary to hemolytic uremic syndrome (HUS) after undergoing emergency cesarean section for severe pre-eclampsia and abruptio placenta. She underwent hemodialysis with concurrent infusions of fresh-frozen plasma and packed red cells for 5 weeks. Renal biopsy revealed findings consistent with HUS with glomerular crescents. She received three doses of pulse methylprednisolone followed by oral prednisone. Renal function improved 5 weeks after the onset of HUS. The pathogenesis, differential diagnosis, and treatment options of postpartum HUS are discussed.