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Common diagnosis at an unusual age - pulmonary oedema in a toddler
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  1. Leopold Simma1,
  2. Thomas J Neuhaus2
  1. 1Emergency Department, Children’s Hospital Lucerne, Lucerne, Switzerland
  2. 2Department of Pediatrics, Children’s Hospital Lucerne, Lucerne, Switzerland
  1. Correspondence to Dr Leopold Simma, leopold.simma{at}luks.ch

https://doi.org/10.1136/bcr-2018-225389

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    Description 

    A 15-month-old toddler presented to the emergency department (ED) with a history of fatigue, rhinitis and reduced oral intake. The medical history was remarkable for diarrhoea (Enterohaemorrhagic Escherichia coli (EHEC), Shiga toxin) positive haemolytic uremic syndrome (D+-HUS) 3 months ago with microangiopathic haemolytic anaemia, thrombocytopenia, renal failure and hypertension. When HUS was diagnosed, he had a blood pressure of 117/82 mm Hg, anuria over 18 hours and a platelet count of 110x109/L with fragmentocytes on blood film without evidence of complement dysfunction. The patient …

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