Fatal case of hemolytic-uremic syndrome in an adult due to a rare serogroup O91 Entero hemorrhagic Escherichia coli associated with a Clostridium difficile infection. More than meets the eye

Int J Infect Dis. 2015 Aug:37:113-4. doi: 10.1016/j.ijid.2015.06.015. Epub 2015 Jun 30.

Abstract

Hemolytic-uremic syndrome due to enterohemorrhagic Escherichia coli, belonging to serogroup O91 has rarely been described. We report here a case of post-diarrheal HUS due to EHEC O91 in an elderly patient for whom diagnosis was delayed given a previously diagnosed C. difficile infection. This case highlights the usefulness of Shiga-toxin detection.

Keywords: Clostridium difficile; Escherichia coli; Hemolytic Uremic Syndrome.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Clostridioides difficile*
  • Clostridium Infections / complications*
  • Coinfection / diagnosis
  • Coinfection / microbiology*
  • Diarrhea / microbiology
  • Enterohemorrhagic Escherichia coli* / classification
  • Enterohemorrhagic Escherichia coli* / genetics
  • Enterohemorrhagic Escherichia coli* / isolation & purification
  • Escherichia coli Infections / complications
  • Escherichia coli Infections / diagnosis
  • Escherichia coli Infections / microbiology*
  • Fatal Outcome
  • Hemolytic-Uremic Syndrome / complications
  • Hemolytic-Uremic Syndrome / diagnosis
  • Hemolytic-Uremic Syndrome / microbiology*
  • Humans
  • Male
  • Serogroup