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.