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. 1978 Jun 10;1(6126):1518–1521. doi: 10.1136/bmj.1.6126.1518

Haemolytic-uraemic syndrome complicating shigella dystentery in south Indian children.

P Raghupathy, A Date, J C Shastry, A Sudarsanam, M Jadhav
PMCID: PMC1605041  PMID: 350345

Abstract

Shigella dysentery caused 65% of all cases of acute renal failure (ARF) seen in children treated at the Christian Medical College Hospital, Vellore, during the 33 months ending September 1977. In the 40 children with ARF secondary to shigella dysentery, haematological findings suggested that they were suffering from the haemolytic-uraemic syndrome, and glomerular hypercellularity and fibrin deposition were present in all 12 patients whose renal histology could be studied. Peritoneal dialysis was the main element of treatment: 43% of children who underwent dialysis improved, compared with only 25% of those who did not undergo dialysis. The haemolytic-uraemic syndrome precipitated by bacillary dystentery is therefore the most important cause of ARF in children aged under 5 years in Tamil Nadu and the adjoining area of Andhra Pradesh.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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