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Haemorrhagic shock-encephalopathy syndrome: plasmapheresis as a therapeutic approach
Authors:B Roth  A Younossi-Hartenstein  R Schröder  H Hörnchen  L Heymans
Institution:(1) Children's Hospital, University of Cologne, Federal Republic of Germany;(2) Department of Pathology, University of Cologne, Federal Republic of Germany;(3) Department of Pediatrics, Medical Faculty, RWTH Aachen, Federal Republic of Germany;(4) Universitätskinderklinik, D-5000 Köln 41, Federal Republic of Germany
Abstract:We present the case of a 4.5-week-old boy with acute encephalopathy, shock, intestinal bleeding and disseminated intravascular coagulation. The clinical course and typical laboratory parameters were compatible with a diagnosis of haemorrhagic shock-encephalopathy syndrome (HSE). Immediate shock treatment, repeated haemodialysis and plasmapheresis did not prevent a fatal outcome 4 days after the onset of clinical symptoms.Abbreviations HSE haemorrhagic shock-encephalopathy syndrome - HUS haemolytic uraemic syndrome
Keywords:Shock  Encephalopathy  Diffuse intravascular coagulation  Renal failure  Hepatic failure
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