Cardiomyopathy: a late complication of hemolytic uremic syndrome |
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Authors: | Amanda M Walker Lee N Benson Greg J Wilson Gerald S Arbus |
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Institution: | (1) Division of Nephrology, Department of Pediatrics, The Hospital for Sick Children and University of Toronto, Toronto, Canada, CA;(2) Division of Cardiology, Department of Pediatrics, The Hospital for Sick Children and University of Toronto, Toronto, Canada, CA;(3) Department of Pathology, The Hospital for Sick Children and University of Toronto, Toronto, Canada, CA |
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Abstract: | This report describes a child who presented with classic hemolytic uremic syndrome (HUS) and 4 months later developed a life-threatening
but reversible cardiomyopathy with global cardiac dysfunction and a left ventricular ejection fraction of 14%. There was no
evidence of electrolyte abnormalities, anemia, hypertension, severe fluid overload, or viral infection. Endomyocardial biopsies
were consistent with a dilated cardiomyopathy. This paper highlights the importance of considering the diagnosis of associated
cardiomyopathy when presenting with late-onset edema following HUS.
Received February 12, 1996; received in revised form and accepted August 22, 1996 |
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Keywords: | : Hemolytic uremic syndrome Cardiomyopathy |
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