HEMOLYTIC-UREMIC SYNDROME IN A CHILD WITH BURN INJURIES

We report the first case of hemolytic uremic syndrome in a patient wit h burns. An unusual case of the syndrome developed in a 1-year-old bla ck girl hospitalized after second-degree burns to 33% of her total bod y surface area. Acute abdominal distention, hemolytic anemia, hematuri a, and oliguric renal failure developed 1 week after admission to the burn unit. Blood cultures grew Escherichia coli O157:H7. She received supportive care and antibiotics, in addition to low-dose dopamine, whi ch promptly reversed the oliguria. Dialysis was not required, and the child made a complete recovery.