Hemolytic-uremic syndrome associated with neuraminidase-producing microorganisms: treatment by exchange transfusion

In two infants with pneumonia, Coombs test positive hemolytic anemia and hemolytic uremic syndrome (HUS), exposure of the Thomsen cryptantigen, probably due to the action of circulating neuraminidase, was demonstrated. Reaction between the exposed T-antigen and anti-T agglutinin, normally present in...

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Bibliographic Details
Published in:	Helvetica paediatrica acta Vol. 35; no. 4; p. 359
Main Authors:	Seger, R, Joller, P, Baerlocher, K, Kenny, A, Dulake, C, Leumann, E, Spierig, M, Hitzig, W H
Format:	Journal Article
Language:	English
Published:	Switzerland 01-09-1980
Subjects:	Antigens - immunology Exchange Transfusion, Whole Blood Hemolytic-Uremic Syndrome - immunology Hemolytic-Uremic Syndrome - therapy Humans Infant Male Neuraminidase - blood Renal Dialysis
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Summary:	In two infants with pneumonia, Coombs test positive hemolytic anemia and hemolytic uremic syndrome (HUS), exposure of the Thomsen cryptantigen, probably due to the action of circulating neuraminidase, was demonstrated. Reaction between the exposed T-antigen and anti-T agglutinin, normally present in human blood, can lead to difficulties in serological testing and during blood transfusion. The place of exchange transfusions using washed RBC or heparinized whole blood in the management of this subgroup of HUS is discussed.
ISSN:	0018-022X