Severe Case of Thrombotic Microangiopathy with a Delayed Diagnosis of Atypical Haemolytic Uraemic Syndrome Successfully Managed with Eculizumab

  • Duaa Aresmouk Nephrocare Hagen GmbH

Keywords

Chronic kidney disease, eculizumab, hemolytic uremic syndrome

Abstract

Objectives: To describe the diagnosis and treatment of a severely ill patient presenting with thrombotic microangiopathy (TMA) of unknown cause.

Case presentation: An adult female presented to intensive care with abdominal pain and haemorrhagic shock, requiring reanimation.

Results: Features of TMA were present, but initial plasma exchange was ineffective. Treatment with the anti-C5 antibody, eculizumab, improved laboratory parameters and organ function, albeit slowly. Eculizumab remains effective and well tolerated after 30 months of treatment.

Conclusion: This case demonstrates the complexities and importance of early identification of atypical haemolytic uraemic syndrome in patients presenting with TMA.

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References

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  • Published: 2015-03-25

    Issue: Vol. 2 No. 2 (2015) (view)

    Section: Articles

    How to cite:
    1.
    Aresmouk D. Severe Case of Thrombotic Microangiopathy with a Delayed Diagnosis of Atypical Haemolytic Uraemic Syndrome Successfully Managed with Eculizumab. EJCRIM 2015;2 doi:10.12890/2015_000180.