21. EID V3N3 Hemolytic Uremic Syndrome Surveillance To Monitor Trends In Infection W Letters hemolytic uremic syndrome Surveillance to Monitor Trends in Infection with Escherichia coli O157H7 and Other Shiga ToxinProducing E. coli. http://www.cdc.gov/ncidod/eid/vol3no3/mahon.htm

Letters Hemolytic Uremic Syndrome Surveillance to Monitor Trends in Infection with Escherichia coli O157:H7 and Other Shiga Toxin-Producing E. coli To the Editor: In the past 15 years, knowledge about the role of Shiga toxin-producing Escherichia coli (STEC) in human disease has expanded rapidly. The most distinctive complication of STEC infection is diarrhea-associated hemolytic uremic syndrome (HUS), a major cause of acute renal failure in U.S. children. Other manifestations of STEC infection can range from mild diarrhea to severe hemorrhagic colitis, thrombotic thrombocytopenic purpura, and death ( ). In the United States, O157 is the most common STEC and causes an estimated 20,000 infections and 250 deaths annually. E. Coli O157 outbreaks associated with beef have caused concern among public health workers, clinicians, and the public, prompting major changes in clinical and laboratory practice, meat production, and food preparation. However, critical questions remain unanswered. Have prevention measures decreased risk? Are new sources of STEC infections emerging? Is the incidence of O157 infection changing? How much illness is due to STEC of serotypes other than O157? Diarrhea-associated HUS is associated with Shiga toxin, which is produced in quantity only by STEC and by

22. EID V1 N4: Hemolytic Uremic Syndrome hemolytic uremic syndrome. Download Article Community outbreak of hemolytic uremic syndrome attributable to Escherichia coli O111NM South Australia, 1995. http://www.cdc.gov/ncidod/eid/vol1no4/cameron.htm

EID Volume 1 * Number 4 October-December 1995 Commentary Hemolytic Uremic Syndrome Download Article Along with a report of the first outbreak of hemolytic uremic syndrome (HUS) caused by Shiga-like toxin (SLT) producing E. coli in Australia , this issue of Emerging Infectious Diseases presents three papers detailing the investigations of pediatric HUS cases linked to Shiga toxin (ST) and SLT producing bacteria. Goldwater and Bettelheim present a case of pediatric HUS associated with SLT producing Escherichia coli (SLTEC) O48:H21 in South Australia; this strain has not previously been recognized as an SLTEC. Saeed et al. report on the increasingly common identification of HUS in Saudi Arabia, its association with multiple-antibiotic-resistant Shigella dysenteriae type 1, and the inherent dangers of treating such patients with ampicillin and nalidixic acid. Al-Qawari et al. report on the results of active surveillance for dysentery and HUS in Saudi Arabia and discuss a possibly elevated risk for HUS in patients with bloody diarrhea who are hospitalized and treated with nalidixic acid during an outbreak of S. dysenteriae type

23. Hemolytic Uremic Syndrome - Information / Diagnosis / Treatment / Prevention home urological disorders hemolytic uremic syndrome hemolytic uremic syndrome. Patients Guide Fact sheet summarizing hemolytic uremic syndrome. http://www.healthcyclopedia.com/urological-disorders/hemolytic-uremic-syndrome.h

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... kidney > hemolytic uremic syndrome Hemolytic Uremic Syndrome Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Related Topics Health News Web Directory: Related Topics: Genitourinary Disorders/Hematuria Health News: Search millions of published articles for news on Hemolytic Uremic Syndrome Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: Atypical Hemolytic Uremic Syndrome Atypical HUS, is a rare disease among children causing kidney failure and high blood pressure. Offering support and information including, treatment, symptoms, case studies and research. Emergency Medicine Written by William Shapiro MD., an article about hemolytic uremic syndrome. An introduction, lab studies, treatment and follow up.

24. UAB Health System | Hemolytic Uremic Syndrome hemolytic uremic syndrome. What is hemolytic uremic syndrome (HUS)? About 2 percent to 7 percent of infections lead to hemolytic uremic syndrome. http://www.health.uab.edu/hospital/show.asp?durki=15578

25. Hemolytic Uremic Syndrome What is hemolytic uremic syndrome? . Additional Information on hemolytic uremic syndrome. http://www.mamashealth.com/syndrome/hemolytic.asp

Mamashealth.com Home Syndromes Pages Chronic Fatigue Cyclic Vomiting Down Hemolytic Uremic ... Zollinger-Ellison Links Email Mama What is Hemolytic Uremic Syndrome? Hemolytic (HEE-mo-LIT-ik) uremic (yoo-REE-mik) syndrome is a rare condition affecting mostly children under the age of 10. Hemolytic uremic syndrome (HUS) is characterized by destruction of red blood cells, damage to the lining of blood vessel walls, and, in severe cases, kidney failure. Most cases of HUS occur after an infection in the digestive system caused by the Escherichia colibacterium found on contaminated food like meat, dairy products, and juice. The first stages of HUS frequently present with gastrointestinal symptoms such as abdominal pain, vomiting, and bloody diarrhea. This stage lasts from 1 to 15 days. Recovery from this acute colitic phase is the rule. However, more severe problems in the bowel and colon may develop in some cases. (The most vulnerable and severely stricken of children with HUS can die during the first acute stage of the diseasebetween 5 percent and 10 percent.) For most children with HUS, the vomiting and diarrhea stop after 2 or 3 days. Even when the gastroenteritis has stopped, the child does not recover full health, remaining pale, tired, and irritable. The bacteria originally lodged in the digestive system make toxins that enter the bloodstream, and these toxins destroy red blood cells. Small, unexplained bruises or small clot-sized hemorrhages visible in the mucosal lining of the mouth may occur because the toxins also destroy the platelets, cells that normally contribute to the clotting system.

26. Hemolytic Uremic Syndrome MEDSTUDENTS PEDIATRICS A brief review on HemolyticUremic Syndrome, it’s etiology, epidemiology, pathogenesis, clinical manifestations, diagosis, treatment and prognosis. http://www.medstudents.com.br/pedia/pedia5.htm

PEDIATRICS Karina Luise Glaser Medstudents'Homepage Hemolytic Uremic Syndrome The hemolytic uremic syndrome (HUS) is the most common cause of acute renal failure in infants and young children, and an important cause of cronic renal failure and shock during youth. It is estimated that 90% of cases are preceded by a prodrome of bloody diarrhea. The syndrome may also follow the use of some drugs, malignancy, pregnancy, glomerulopathies, or it may be idiopathic. Diagnosis The classic diagnostic criteria are microangiopathic hemolytic anemia, thrombocytopenia and acute renal failure, following an acute episode of bloody diarrhea. There may be incomplete syndromes, when the diagnosis becomes unclear. The differential diagnosis include disseminated intravascular coagulation (DIC), thrombotic thrombocytopenic purpura (TTP), bilateral renal vein thrombosis and lupus. In DIC, partial thromboplastin time and prothrombin time are prolonged, and the patient may be septic. TTP is common in adults, specially young women, with central nervous system involvement, fever and cutaneous manifestations, and tends to occur as a relapsing illness. The enlargement of kidneys and angiography help distinguish bilateral renal vein thrombosis from the hemolytic uremic syndrome. Epidemiology The most common microorganisms associated to the post-diarrhea hemolytic uremic syndrome are Escherichia coli (0157:H7 strain) and type 1 Shigella dysenteriae . The enterohemorrhagic E. coli

27. Hemolytic-uremic Syndrome Other hemolytic uremic syndromeVideotape. Lois Joy Galler Foundation for hemolytic uremic syndrome, Inc., 1995. Fact Sheet hemolytic uremic syndrome. http://www.healthatoz.com/healthatoz/Atoz/ency/hemolytic-uremic_syndrome.html

Encyclopedia Index H Home Encyclopedia Encyclopedia Index H Hemolytic-uremic syndrome Definition Hemolytic-uremic syndrome (HUS) is a rare condition that affects mostly children under the age of 10, but also may affect the elderly as well as persons with other illnesses. HUS, which most commonly develops after a severe bowel infection with certain toxic strains of a bacteria, is characterized by destruction of red blood cells, damage to the lining of blood vessel walls, and in severe cases, kidney failure. Description Most cases of HUS occur after an infection in the digestive system that has been caused by toxin-producing strains of the bacterium Escherichia coli . About 75% of HUS cases in the United States are caused by the strain referred to as E. coli O157:H7, which is found in the intestinal tract of cattle, while the remaining cases are caused by non-O157 strains. Some children infected with E. coli O157:H7 will develop HUS. HUS also can follow respiratory infection episodes in young children. In the United States, there are about 20,000 infections and 250 deaths annually that are caused by E. coli

28. Hemolytic Uremic Syndrome - Urological Disorders Health Guide Urological Disorders. hemolytic uremic syndrome. What is hemolytic uremic syndrome (HUS)? hemolytic uremic syndrome is a rare condition http://www.umm.edu/urology-info/hemolyt.htm

Urological Disorders Urogenital Disorders... Analgesic Nephropathy Cystocele ... Site Index Related Resources Within UMM Urology Urological Disorders Hemolytic Uremic Syndrome What is hemolytic uremic syndrome (HUS)? Hemolytic uremic syndrome is a rare condition that mostly affects children under the age of 10. It is often characterized by: damage to the lining of blood vessel walls destruction of red blood cells kidney failure What causes HUS? Most cases of HUS occur after an infection in the digestive tract caused by the E. coli bacterium. E. coli may be found in contaminated food, such as diary products and meat. How might HUS progress? The first stage of HUS frequently lasts from 1 to 15 days and may include gastrointestinal symptoms such as: abdominal pain bloody diarrhea vomiting Severe problems in the bowel and colon may develop in some cases. In these cases, even if the gastroenteritis has stopped, a child may still exhibit the following symptoms: irritability fatigue small, unexplained bruises or small clot-sized hemorrhages visible in the mucosal lining of the mouth

29. Hemolytic-uremic Syndrome MAIN SEARCH INDEX. Hemolyticuremic syndrome. SyndromeVideotape. Lois Joy Galler Foundation for hemolytic uremic syndrome, Inc., 1995. National http://www.ehendrick.org/healthy/002080.htm

MAIN SEARCH INDEX Hemolytic-uremic syndrome Definition Description Causes and symptoms Diagnosis ... Resources Definition Hemolytic-uremic syndrome (HUS) is a rare condition that affects mostly children under the age of 10, but also may affect the elderly as well as persons with other illnesses. HUS, which most commonly develops after a severe bowel infection with certain toxic strains of a bacteria, is characterized by destruction of red blood cells, damage to the lining of blood vessel walls, and in severe cases, kidney failure. Description Most cases of HUS occur after an infection in the digestive system that has been caused by toxin-producing strains of the bacterium Escherichia coli . About 75% of HUS cases in the United States are caused by the strain referred to as E. coli O157:H7, which is found in the intestinal tract of cattle, while the remaining cases are caused by non-O157 strains. Some children infected with E. coli O157:H7 will develop HUS. HUS also can follow respiratory infection episodes in young children. In the United States, there are about 20,000 infections and 250 deaths annually that are caused by E. coli

30. Hemolytic Uremic Syndrome - Keep Kids Healthy A discussion of hemolytic uremic syndrome, which usually follows diarrhea caused by E coli 0157, causing acute renal failure and anemia. http://www.keepkidshealthy.com/welcome/conditions/hus.html

Bookstore Site Map Contact Us Help ... What's New? Search this site: Advanced Search Free Newsletters Main Menu Useful Tools Index of Topics Pediatric Problems New! Parenting Tips Symptom Guide Nutrition Immunizations ... Web Links Online Resources What's New Reviews New! Growth Charts Online Forums Vaccine Schedule Baby Names Guide ... Height Calculator Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend Main Diseases and Conditions Hemolytic Uremic Syndrome Hemolytic uremic syndrome (HUS) is a disorder that usually causes microangiopathic hemolytic anemia (destruction of red blood cells in small and medium sized blood vessels), thrombocytopenia (a low platelet count), and acute renal failure . It is the most common cause of acute renal failure in infants and children and there are about 2-4 cases per 100,000 children in the United States, usually during the summer and early fall. HUS most commonly affects kids between the ages of six months and four years of age, who usually have the classic or epidemic form of HUS, which is preceded by diarrhea for 3-4 days. The diarrhea is usually watery and may be bloody and associated with vomiting and/or abdominal pain. The diarrhea can last up to 12 days and is most commonly caused by eating meat that is contaminated with the

31. Hemolytic Uremic Syndrome hemolytic uremic syndrome is a rare condition affecting mostly children under the age of 10. Subscribe now . hemolytic uremic syndrome. http://healthlink.mcw.edu/article/943053875.html

Search Articles: search tips Please Take the HealthLink Survey Email this article Print this article Find related articles: By topic: Children's Health Kidneys By keywords: kidneys Receive Health Link via email! Subscribe now >> Hemolytic Uremic Syndrome Hemolytic (HEE-mo-LIT-ik) uremic (yoo-REE-mik) syndrome is a rare condition affecting mostly children under the age of 10. Hemolytic uremic syndrome (HUS) is characterized by destruction of red blood cells, damage to the lining of blood vessel walls, and, in severe cases, kidney failure. Most cases of HUS occur after an infection in the digestive system caused by the E. coli bacterium found on contaminated food like meat, dairy products, and juice. The first stages of HUS frequently present with gastrointestinal symptoms such as abdominal pain, vomiting, and bloody diarrhea. This stage lasts from 1 to 15 days. Recovery from this acute colitic phase is the rule. However, more severe problems in the bowel and colon may develop in some cases. (The most vulnerable and severely stricken of children with HUS can die during the first acute stage of the diseasebetween 5 percent and 10 percent.) For most children with HUS, the vomiting and diarrhea stop after 2 or 3 days. Even when the gastroenteritis has stopped, the child does not recover full health, remaining pale, tired, and irritable. The bacteria originally lodged in the digestive system make toxins that enter the bloodstream, and these toxins destroy red blood cells. Small, unexplained bruises or small clot-sized hemorrhages visible in the mucosal lining of the mouth may occur because the toxins also destroy the platelets, cells that normally contribute to the clotting system.

32. Hemolytic Uremic Syndrome - Causes, Symptoms & Treatment hemolytic uremic syndrome Facts plus the Latest News on hemolytic uremic syndrome Treatments HealthNewsflash. hemolytic uremic syndrome Fact Book. http://www.healthnewsflash.com/conditions/hemolytic_uremic_syndrome.php

Search our Archive for the Latest News on Hemolytic Uremic Syndrome Browse By Category Browse Alphabetically Search Health Conditions Hemolytic Uremic Syndrome Fact Book Hemolytic (HEE-mo-LIT-ik) uremic (yoo-REE-mik) syndrome is a rare condition affecting mostly children under the age of 10. Hemolytic uremic syndrome (HUS) is characterized by destruction of red blood cells, damage to the lining of blood vessel walls, and, in severe cases, kidney failure. Most cases of HUS occur after an infection in the digestive system caused by the Escherichia coli bacterium found on contaminated food like meat, dairy products, and juice. The first stages of HUS frequently present with gastrointestinal symptoms such as abdominal pain, vomiting, and bloody diarrhea. This stage lasts from 1 to 15 days. Recovery from this acute colitic phase is the rule. However, more severe problems in the bowel and colon may develop in some cases. (The most vulnerable and severely stricken of children with HUS can die during the first acute stage of the diseasebetween 5 percent and 10 percent.) For most children with HUS, the vomiting and diarrhea stop after 2 or 3 days. Even when the gastroenteritis has stopped, the child does not recover full health, remaining pale, tired, and irritable. The bacteria originally lodged in the digestive system make toxins that enter the bloodstream, and these toxins destroy red blood cells. Small, unexplained bruises or small clot-sized hemorrhages visible in the mucosal lining of the mouth may occur because the toxins also destroy the platelets, cells that normally contribute to the clotting system.

33. Hemolytic Uremic Syndrome - Lucile Packard Children's Hospital Genitourinary Kidney Disorders. hemolytic uremic syndrome What is hemolytic uremic syndrome (HUS)? What causes hemolytic uremic syndrome? http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/urology/hus.html

Urology Urologists Hemolytic Uremic Syndrome What is hemolytic uremic syndrome (HUS)? HUS is a rare condition that can lead to kidney failure in children. Kidney failure develops as a result of destruction of the small, functional structures and vessels inside the kidney. HUS is a serious illness and potentially fatal. What causes hemolytic uremic syndrome? HUS is more common during the summer months and may occur in outbreaks. Outbreaks have been reported in daycare centers, water parks, and fast food restaurants as a result of inadequately cooked hamburger meat. HUS is most common in younger children between 6 months and 4 years, but can occur at any age. HUS has several known causes and some unknown causes. Typically in children, HUS develops after an infection with the E. coli bacterium. E. coli may be found in contaminated food such as dairy products and meat. HUS can also develop as a result of taking certain medications, or may result from a cancer present in the body, although these causes are less common. In less than 5 percent of HUS cases, the disorder is inherited by a dominant gene (a gene passed from parent to child with a 50/50 risk) or recessive gene (each parent carries one copy of the gene and the child inherits both copies; the chance is 25 percent with each pregnancy). What are the symptoms of hemolytic uremic syndrome?

34. Hemolytic Uremic Syndrome hemolytic uremic syndrome. What is hemolytic uremic syndrome (HUS)? HUS is a serious illness and potentially fatal. What causes hemolytic uremic syndrome? http://www.chw.org/display/PPF/DocID/2624/router.asp

Site Index Anatomy of the Urinary System Overview of Genitourinary Disorders Male Conditions ... Urology - Genitourinary and Kidney Disorders : Hemolytic Uremic Syndrome E-mail this page Print this page Hemolytic Uremic Syndrome What is hemolytic uremic syndrome (HUS)? HUS is a rare condition that can lead to kidney failure in children. Kidney failure develops as a result of destruction of the small, functional structures and vessels inside the kidney. HUS is a serious illness and potentially fatal. What causes hemolytic uremic syndrome? HUS is more common during the summer months and may occur in outbreaks. Outbreaks have been reported in daycare centers, water parks, and fast food restaurants as a result of inadequately cooked hamburger meat. HUS is most common in younger children between 6 months and 4 years, but can occur at any age. HUS has several known causes and some unknown causes. Typically in children, HUS develops after an infection with the E. coli bacterium. E. coli may be found in contaminated food such as dairy products and meat. HUS can also develop as a result of taking certain medications, or may result from a cancer present in the body, although these causes are less common. In less than 5 percent of HUS cases, the disorder is inherited by a dominant gene (a gene passed from parent to child with a 50/50 risk) or recessive gene (each parent carries one copy of the gene and the child inherits both copies; the chance is 25 percent with each pregnancy).

35. Hemolytic Uremic Syndrome hemolytic uremic syndrome Important It is possible that the main title of the report hemolytic uremic syndrome is not the name you expected. http://my.webmd.com/hw/health_guide_atoz/nord745.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Quizzes, Calculators Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map You are in Medical Library Choose a Topic Our Content Sources Ask A Question Clinical Trials Health Guide A-Z Health Topics Symptoms Medical Tests Medications ... For a Complete Report Hemolytic Uremic Syndrome Important It is possible that the main title of the report Hemolytic Uremic Syndrome is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report. Synonyms Gasser Syndrome HUS Disorder Subdivisions None General Discussion Resources American Kidney Fund, Inc. 6110 Executive Boulevard Suite 1010 Rockville, MD 20852 USA Tel: 3018813052 Fax: 3018810898 Tel: 8006388299 Email: helpline@akfinc.org Internet: http://www.akfinc.org National Kidney Foundation 30 East 33rd Street New York, NY 10016

36. HEMOLYTIC UREMIC SYNDROME hemolytic uremic syndrome What is hemolytic uremic syndrome? hemolytic uremic syndrome (HUS) is a condition that affects the blood and blood vessels. http://www.kidney.org/general/atoz/content/hemolytic.html

Hemolytic Uremic Syndrome What is hemolytic uremic syndrome? Hemolytic uremic syndrome (HUS) is a condition that affects the blood and blood vessels. It results in the destruction of blood platelets (cells involved in clotting), a low red blood cell count (anemia), and kidney failure due to damage in the very small blood vessels of the kidneys. Other organs, such as the brain or heart, may also be affected by damage in very small blood vessels. Are there different types of HUS? Yes. A syndrome, such as HUS, is a combination of findings that may be due to many different reasons. HUS most commonly follows a severe bowel infection with certain toxic strains of the bacteria called E. coli. It may also occur in response to certain medicines, but this is rare. Only very rarely will it occur for an unknown reason. This fact sheet is primarily focused on the HUS that occurs in infants and children as a result of an E. coli infection. What are the symptoms of HUS? HUS in children generally occurs after an illness involving diarrhea (usually bloody). Most children fully recover from their bowel illness and do not develop HUS. However, a small percentage will become pale and have less energy, related to progression to HUS. They may also have decreasing urine output, but a loss of color in the skin is the most striking feature. How does HUS start?

37. Kidney Learning System - Hemolytic Uremic Syndrome KLS Home Fact Sheets hemolytic uremic syndrome. Printer friendly. hemolytic uremic syndrome. What is hemolytic uremic syndrome? http://www.kidney.org/kls/factsheets/showFS.cfm?id=31&&title=fs_hemolytic.htm

38. Differential Diagnosis -- Case 150 pregnancy (AFLP), HELLP syndrome (hemolysis, elevated liver enzymes and low platelets), thrombotic thrombocytopenic purpura / hemolytic uremic syndrome (TTP/HUS http://path.upmc.edu/cases/case150/diff.html

Differential Diagnosis Renal Failure, Anemia and Thrombocytopenia DIFFERENTIAL DIAGNOSIS: The differential diagnosis of oliguric renal failure, thrombocytopenia and thrombotic microangiopathic hemolytic anemia (MAHA) (evidenced by the red blood cell fragments, increased LDH and decreased haptoglobin) in a post partum setting includes acute fatty liver of pregnancy (AFLP), HELLP syndrome (hemolysis, elevated liver enzymes and low platelets), thrombotic thrombocytopenic purpura / hemolytic uremic syndrome (TTP/HUS), disseminated intravascular coagulation (DIC) and preeclampsia (table 1). Differentiating among these conditions is critical because they respond to different therapeutic modalities and the laboratory is often critical in making these distinctions. Table 1. Laboratory Differential Diagnosis in Pregnancy Associated Thrombotic Microangiopathies* Abnormality HUS/TTP AFLP HELLP DIC Preeclampsia Abnormal PT/PTT N Y N Y Y or N Hemolysis Y Y Y Y Y Thrombocytopenia Y Y Y Y Y Abnormal liver function tests N Y Y N N Abnormal renal function tests Y N N N N *adapted from Fricke et al HELLP syndrome is seen in 5% of patients with preeclamsia; 70% of cases occur antenatally and 30% occur within the first 48 hours post partum. Thrombocytopenia, microangiopathic hemolytic anemia, moderately abnormal liver function tests (LFT) and usually mildly abnormal renal function tests are characteristically present. Antepartum preeclampsia developes most commonly in nulliparous women and is characterized by proteinuria, edema and hypertension. Hemolysis is rare, and mild thrombocytopenia is present in 10-15% of cases. LFTs are minimally affected, and renal failure is rare. This patient did not have hypertension and LFTs were only transiently abnormal, making HELLP syndrome and preeclampsia less likely.

39. Hemolytic Uremic Syndrome - Medical Dictionary Definitions Of Popular Medical Te MedicineNet Home MedTerms medical dictionary AZ List hemolytic uremic syndrome. Advanced Search. hemolytic uremic syndrome Index. http://www.medterms.com/script/main/art.asp?articlekey=13812

40. A To Z Encyclopedia Topic: Hemolytic Uremic Syndrome Clinical Services. hemolytic uremic syndrome. What is hemolytic uremic syndrome (HUS)? HUS What causes hemolytic uremic syndrome? HUS http://web1.tch.harvard.edu/cfapps/A2ZtopicDisplay.cfm?Topic=Hemolytic Uremic Sy

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