Hemolytic uremic syndrome outbreak in Turkey in 2011

The aim of this retrospective multicenter study was to define the epidemiological and clinical features and prognostic factors of the first diarrhea-related hemolytic uremic syndrome (D+HUS) outbreak in Turkey in 2011. All pediatric nephrology centers in Turkey were asked about D+HUS patients...

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Main Authors: Zelal Ekinci, Ozan Özkaya, Nida Dinçel, Nurver Akıncı, Kaan Gülleroğlu, Ali Delibaş, İpek Akil, Yılmaz Tabel, Faruk Öktem, Emel Işıyel, Hasan Dursun, Kenan Bek, Ismail Dursun, Zübeyde Gündüz, Sare Gülfem Akyüz, Nur Canpolat, Harika Alpay, Cengiz Candan, Oğuz Söylemezoğlu
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2013-06-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1494
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author Zelal Ekinci
Ozan Özkaya
Nida Dinçel
Nurver Akıncı
Kaan Gülleroğlu
Ali Delibaş
İpek Akil
Yılmaz Tabel
Faruk Öktem
Emel Işıyel
Hasan Dursun
Kenan Bek
Ismail Dursun
Zübeyde Gündüz
Sare Gülfem Akyüz
Nur Canpolat
Harika Alpay
Cengiz Candan
Oğuz Söylemezoğlu
author_facet Zelal Ekinci
Ozan Özkaya
Nida Dinçel
Nurver Akıncı
Kaan Gülleroğlu
Ali Delibaş
İpek Akil
Yılmaz Tabel
Faruk Öktem
Emel Işıyel
Hasan Dursun
Kenan Bek
Ismail Dursun
Zübeyde Gündüz
Sare Gülfem Akyüz
Nur Canpolat
Harika Alpay
Cengiz Candan
Oğuz Söylemezoğlu
author_sort Zelal Ekinci
collection DOAJ
description The aim of this retrospective multicenter study was to define the epidemiological and clinical features and prognostic factors of the first diarrhea-related hemolytic uremic syndrome (D+HUS) outbreak in Turkey in 2011. All pediatric nephrology centers in Turkey were asked about D+HUS patients via e-mail. Seventy D+HUS patients (median age: 5.7 years) participated. The seasonal peak was around the 7th, 8th and 9th months with 44 cases, centered in the east Marmara region. No causative agent could be identified. The rate of neurological complications and mortality was 21.4% and 4.2%, respectively. Eculizumab was used in four cases. Two of them had severe neurological complications despite plasma exchange. Elevated polymorphonuclear leukocyte count during hospital admission was the predictor of both severe disease and poor outcome. Duration of prodrome was the predictor of poor outcome (p
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institution DOAJ
issn 0041-4301
2791-6421
language English
publishDate 2013-06-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-4af4b2c324a44f49b75c41f88fcec6ee2025-08-20T03:01:15ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212013-06-01553Hemolytic uremic syndrome outbreak in Turkey in 2011Zelal Ekinci0Ozan ÖzkayaNida DinçelNurver AkıncıKaan GülleroğluAli Delibaşİpek AkilYılmaz TabelFaruk ÖktemEmel IşıyelHasan DursunKenan BekIsmail DursunZübeyde GündüzSare Gülfem AkyüzNur CanpolatHarika AlpayCengiz CandanOğuz SöylemezoğluDivision of Pediatric Nephrology, Department of Pediatrics, 1Kocaeli University Faculty of Medicine, Kocaeli, Turkey. zekinci@outlook.com. The aim of this retrospective multicenter study was to define the epidemiological and clinical features and prognostic factors of the first diarrhea-related hemolytic uremic syndrome (D+HUS) outbreak in Turkey in 2011. All pediatric nephrology centers in Turkey were asked about D+HUS patients via e-mail. Seventy D+HUS patients (median age: 5.7 years) participated. The seasonal peak was around the 7th, 8th and 9th months with 44 cases, centered in the east Marmara region. No causative agent could be identified. The rate of neurological complications and mortality was 21.4% and 4.2%, respectively. Eculizumab was used in four cases. Two of them had severe neurological complications despite plasma exchange. Elevated polymorphonuclear leukocyte count during hospital admission was the predictor of both severe disease and poor outcome. Duration of prodrome was the predictor of poor outcome (phttps://turkjpediatr.org/article/view/1494
spellingShingle Zelal Ekinci
Ozan Özkaya
Nida Dinçel
Nurver Akıncı
Kaan Gülleroğlu
Ali Delibaş
İpek Akil
Yılmaz Tabel
Faruk Öktem
Emel Işıyel
Hasan Dursun
Kenan Bek
Ismail Dursun
Zübeyde Gündüz
Sare Gülfem Akyüz
Nur Canpolat
Harika Alpay
Cengiz Candan
Oğuz Söylemezoğlu
Hemolytic uremic syndrome outbreak in Turkey in 2011
The Turkish Journal of Pediatrics
title Hemolytic uremic syndrome outbreak in Turkey in 2011
title_full Hemolytic uremic syndrome outbreak in Turkey in 2011
title_fullStr Hemolytic uremic syndrome outbreak in Turkey in 2011
title_full_unstemmed Hemolytic uremic syndrome outbreak in Turkey in 2011
title_short Hemolytic uremic syndrome outbreak in Turkey in 2011
title_sort hemolytic uremic syndrome outbreak in turkey in 2011
url https://turkjpediatr.org/article/view/1494
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