Haemolytic uremic syndrome following fire ant bites

Author:

Lee Yi-Che,Wang Jyh-Seng,Shiang Jeng-Chuan,Tsai Ming-Kai,Deng Kai-Tai,Chang Min-Yu,Wang Hsi-Hao,Ho Li-Chun,Chen Yi-Ting,Hung Shih-Yuan

Abstract

Abstract Background Haemolytic-uremic syndrome (HUS) is a severe, life-threatening disease with symptoms such as haemolytic anaemia, renal failure, and a low platelet count. Possible aetiology includes bacterial infections, medication, post-hematopoietic cell transplantation, pregnancy, autoimmune disease, and acquired immunodeficiency syndrome. Case presentation We report the case of a 21-year-old healthy man who developed acute renal failure caused by HUS. Typical symptoms of HUS combined with severe uraemia developed following a large local reaction after suspected Solenopsis invicta (fire ant) bites. He was successfully treated with plasma exchange and achieved complete recovery of renal function. Conclusion This is the first case illustrating a serious systemic reaction of HUS to fire ant bites, and highlights this severe complication in patients who sustain fire ant bites.

Publisher

Springer Science and Business Media LLC

Subject

Nephrology

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