HAEMODIALYSIS OF THREE CHILDREN AND ONE INFANT WITH A HAEMOLYTIC-URAEMIC SYNDROME

Cytotoxin-producing Escherichia coli and the hemolytic uremic syndrome

Recently, a new class of diarrhea-associated Escherichia coli has been linked to the hemolytic uremic syndrome. The organisms included in this group produce cell-damaging toxins (cytotoxins) related to Shigatoxin made by S. dysenteriae 1. The most common pathogen in this group is E. coli O157:H7.

Hypertension in Nigerian children

A retrospective review of 138 cases of hypertension in Nigerian children attending the University College Hospital, Ibadan, during a 9-year period was undertaken. The main findings were (a) that hypertension occurs more commonly in children aged 5 to 10 years and is seen in both sexes; (b) that nephrotic syndrome is the most frequent clinical condition associated with hypertension in these children; (c) that glomerulonephritis is the most frequent histological finding at biopsy or necropsy; (d) that unlike the experience in Europe and America, pyelonephritis is not a major cause of hypertension in Nigerian children; (e) that the course of hypertension in the majority of the children is rapidly progressive and prognosis is poor.

The haemolytic uraemic syndrome--an epidemic disease?

Six cases of the haemolytic uraemic syndrome occurring in the same district during a period of 27 months are described. No aetiological agent was identified. With symptomatic treatment four children recovered completely. Two children died, one after a fulminating illness lasting 6 days and the other after an illness lasting three months.

Haemolytic-uraemic syndrome. A report of an outbreak

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