Dilated cardiomyopathy and hemolytic uremic syndrome

We report a 17-year-old-man with hemolytic uremic syndrome and pulmonary ed ema un related to fluid or electrolyte abnormalities, severe fluid overload or systemic hypertension. Echocardiogram showed dilated cardiomyopathy and left ventricular disfunction without regional wall motion abnormalities. M edical therapy with cortico-steroids, fresh frozen plasma infusions and pla smapheresis was instituted. One month later, the clinical status, and echoc ardiography returned to normal. Dilated cardiomyopathy is a rare complicati on of hemolytic uremic syndrome, sometimes reversible, that has to be consi dered in the diagnosis of heart failure in the setting of hemolytic uremic syndrome.