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  • Title: Haemolytic uraemic syndrome with shigella.
    Author: O'Riordan T, Kavanagh P, Mellotte G, Conneally E, Mulvihill E, Keogh JA, Moráin CO.
    Journal: Ir Med J; 1990 Jun; 83(2):72-3. PubMed ID: 2202698.
    Abstract:
    A 49-year-old male developed bloody diarrhoea whilst on a visit to India. Sigmoidoscopy and rectal biopsy showed acute colitis. Shigella dysentery type I was isolated from stool culture. Cytotoxin production by the organism was demonstrated. The patient developed acute renal failure, thrombocytopaenia and microangiopathic haemolytic anaemia. He required mechanical ventilation, haemodialysis, blood transfusion and antibiotic therapy and achieved a complete recovery. This is an unusual case of haemolytic uraemic syndrome complicating shigellosis in an adult.
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