Resumo

MENA MIRANDA, Vivian R.; PEREZ CRUZ, José A.; SALVATO DUENAS, Alena  e  LEVY, Olga Noemí. Morbilidad y mortalidad por síndrome hemolítico urémico. Rev Cubana Pediatr [online]. 1998, vol.70, n.1, pp. 32-37. ISSN 1561-3119.

201 medical records of patients diagnosed with acute renal failure (ARF) who required some dialysis method at Centro Habana Teaching Pediatric Hospital from January 1980 to December 1995 were reviewed. Ten records which show hemolytic uremic syndrome (HUS) diagnosis proved by a renal biopsy were selected and divided into HUS D+ or typical and HUS D- or atypical according to the existance or absence of diarrheas as a prodorme for determininig disease general characteristics. 100 % of sick children with HUS D+ were under 3 years-old and their prodromic symptoms developed in less than 15 days, being bloody diarrhea the most frequent finding in these children. The clinical picture of children with HUS D- lasted over 15 days (Hemolytic anemia, thrombocytopenia and acute renal failure) and all of them developed chronic renal defficiency. 50 % of all studied patients with HUS (D+ and D-) suffered from convulsions and peritonitis. The mortality rate of the HUS D- group was 66.6 %

Palavras-chave : HEMOLYTIC-UREMIC SYNDROME [classification]; HEMOLYTIC-UREMIC SYNDROME [complications]; HEMOLYTIC-UREMIC SYNDROME [mortality].

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