Journal of
Clinical Medicine and Research

  • Abbreviation: J. Clin. Med. Res.
  • Language: English
  • ISSN: 2141-2235
  • DOI: 10.5897/JCMR
  • Start Year: 2009
  • Published Articles: 104

Case Report

Haemolytic uraemic syndrome associated with Klebsiella empyema-case report and literature review

Felicia Eke1* Gertrude Agbedeyi1 and Ure Eke2
1Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. 2Department of Medicine, City Hospital, Birmingham, United Kingdom
Email: [email protected]

  •  Accepted: 27 October 2011
  •  Published: 31 December 2011


We report a 13 month old male with haemolytic uraemic syndrome (HUS) associated with Klebsiella empyema. He presented with fever, gastroenteritis and respiratory distress. Investigations showed left pleural effusion, and HUS. Blood and pleural exudate cultures grew Klebsiella pneumoniae. He died during chest tube insertion. Post mortem showed fibrinous empyema. Renal histology confirmed HUS. Klebsiella has not been previously described to cause HUS. This is the first case of HUS and empyema associated with invasive K. pneumoniae in the Niger Delta Region. 


Key words: Acute renal failure, empyema, Haemolytic uraemic syndrome and Klebsiella.