Shiga-toxin E. coli Hemolytic Uremic Syndrome: review of management and long-term outcome

Harkins, V.J. , McAllister, D.A. and Reynolds, B.C. (2020) Shiga-toxin E. coli Hemolytic Uremic Syndrome: review of management and long-term outcome. Current Pediatrics Reports, 8, pp. 16-25. (doi: 10.1007/s40124-020-00208-7)

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Abstract

Purpose of Review: We review the pathophysiology of Shiga-Toxin Enteropathogenic–Hemolytic Uremic Syndrome (STEC-HUS), strategies to ameliorate or prevent evolution of STEC-HUS, management and the improved recognition of long-term adverse outcomes. Recent Findings: Following on from the preclinical evidence of a role for the complement system in STEC-HUS, the use of complement blocking agents has been the major focus of most recent clinical research. Novel therapies to prevent or lessen HUS have yet to enter the clinical arena. The long-term outcomes of STEC-HUS, similarly to other causes of AKI, are not as benign as previously thought. Summary: Optimizing supportive care in STEC-HUS is the only current recommended treatment. The administration of early isotonic fluids may reduce the severity and duration of STEC-HUS. The role of complement blockade in the management of STEC-HUS remains unclear. The long-term sequelae from STEC-HUS are significant and patients with apparent full renal recovery remain at risk.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McAllister, Professor David and Reynolds, Dr Ben and Harkins, Victoria
Authors: Harkins, V.J., McAllister, D.A., and Reynolds, B.C.
College/School:College of Medical Veterinary and Life Sciences
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Public Health
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Current Pediatrics Reports
Publisher:Springer
ISSN:2167-4841
ISSN (Online):2167-4841
Published Online:17 January 2020
Copyright Holders:Copyright © The Authors 2020
First Published:First published in Current Pediatrics Reports 8:16-25
Publisher Policy:Reproduced under a Creative Commons license

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