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E.coli O8 감염에 의한 용혈성 요독증이 동반된 출혈성 대장염 1예

Other Titles
 A Case of Hemolytic Uremic Syndrome Caused by Escherichia coli O8 
 조윤형  ;  박효진  ;  송기섭  ;  송영구  ;  이상인  ;  박인서 
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.25(4) : 213-216, 2002 
Journal Title
Korean Journal of Gastrointestinal Endoscopy(대한소화기내시경학회지)
Issue Date
Escherichia coli O8 ; Hemorrhagic colitis ; Hemolytic uremic syndrome
Since 1982, many countries have reported outbreaks or sporadic cases by enterohemorrhagic Escherichia coli (E. coli) serogroup strains, mainly E. coli O157 : H7. Hemorrhagic E. coli induces hemolytic uremic syndrome (HUS) in 10 to 15% of cases in infants and young chilidren. HUS is a clinical syndrome of hemolytic anemia, acute renal failure, and thrombocytopenia. We experienced a case of E. coli O8 as the causative organism of hemorrhagic colitis and hemolytic uremic syndrome in 16 year-old man. Hemorrhagic colitis was diagnosed by the sigmoidoscopy and E. coli O8 was identified in the stool culture. Hemolytic uremic syndrome was clinically diagnosed. A conservative management including total parenteral nutrition, plasma exchange transfusion, hemodialysis and continuous arteriovenous hemofiltration with dialysis resulted in a complete recovery of the patient. We herein report this manifestations of E. coli O8 and discuss the therapeutic issues related to hemorrhagic colitis and hemolytic uremic syndrome.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Song, Young Goo(송영구) ORCID logo https://orcid.org/0000-0002-0733-4156
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