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April 23, 2026Cureus0 citationsOpen Access

Therapeutic Plasma Exchange in a 15-kg Child With Atypical Hemolytic Uremic Syndrome: A Case Report

NANoor ul AinAAAwais ArshedARAli Raza

Key Points

  • The aim is to describe the management and outcome of a child diagnosed with atypical hemolytic uremic syndrome.
  • Case report detailing a six-year-old male with symptoms of vomiting, abdominal pain, hematuria, and jaundice.
  • Management included plasma infusions, plasma exchange, immunosuppression, and hemodialysis.
  • Kidney-protective measures were also implemented during treatment.
  • Patient achieved remission after treatment.
  • Successful discharge followed a prolonged hospital stay.
  • Symptoms of AKI improved significantly.

Abstract

Atypical hemolytic uremic syndrome (aHUS) is one of the thrombotic microangiopathy (TMA) syndromes characterized by thrombocytopenia, Coombs-negative hemolytic anemia, and renal dysfunction without evidence of Shiga toxin-producing Escherichia coli (E. coli) (STEC) or thrombotic thrombocytopenic purpura (TTP). aHUS is a rare, potentially fatal entity. We present a case of a six-year-old male with vomiting and abdominal pain who developed hematuria and jaundice, along with acute kidney injury (AKI). The patient was diagnosed with aHUS and managed with plasma infusions and exchange, immunosuppression, hemodialysis, and associated kidney-protective measures. He successfully achieved remission and was discharged after a prolonged hospital stay.

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Cite This Study

Ain et al. (2026) studied this question.

synapsesocial.com/papers/69e9b62685696592c86eae9dhttps://doi.org/10.7759/cureus.107418
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