HK J Paediatr (new series) 2001;6:63-65 Haemolytic Uraemic Syndrome Associated

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. Key words Acute renal failure; Haemolytic uraemic syndrome; Pneumococcal septicemia Case Report A previously healthy 19-month-old Chinese boy presented with fever and cough for three days and was admitted because of persistent fever, cough and dyspnoea. On admission he got a temperature of 39°C and mild respiratory distress. Physical examination revealed respiratory rate of 50 breaths/min., decreased air entry on left side of chest with coarse crepitations, and SaO2 of 94%. The chest radiograph showed left lower lob