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Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State

Eltigani Mohamed Ahmed Ali, Nagmelddin Mohamed Abbakar, Mohamed Babikir Abdel Raheem, Rashid Abdelrahman Ellidir.


Abstract
Hemolytic uremic syndrome (HUS) is one of the important causes of acute kidney injury (AKI) and chronic kidney disease (CKD) in children. Proposed prognostic features are controversial. We reviewed, retrospectively, the records of children with HUS seen at Soba hospital, Khartoum (2004-2012). We aimed to study demographics, clinical/laboratory features, outcome and prognostic risk factors. Thirty-nine children with HUS were recorded; 59% had diarrhoea positive (D+) and 41% diarrhoea negative (D−) HUS. The mean age was 65.4 months and males were 61.5%. At the acute phase seizures, coma, anuria/oliguria and hypertension were present in 25%, 17.9%, 51.3% and 53.8% respectively. Severe anaemia, thrombocytopenia, and leukocytosis were present in 71.8%, 97.4%, and
28.2% respectively. On discharge, hypertension was detected in 23.1%. Clinical and laboratory features were not significantly different in D+ and D− cases (P > 0.05 for all parameters). Dialysis was undertaken in 84.6% and acute mortality was 12.8% being significantly higher in D+ (P = 0.002). Demographic, clinical and laboratory features, late referral or need for dialysis were not significantly associated with higher risk of acute mortality (p > 0.05 for all). At short-term follow up (mean period ± SD of 18.54 ± 13.21 months), 51.3% had complete renal recovery, 15.4% CKD 3-4, 12.8% CKD 5 requiring renal replacement therapy (RRT), and 20.5% died. Higher mean serum creatinine and hypertension on discharge were risk factors for adverse outcome (CKD5 requiring RRT or death), P = 0.011 and 0.00 respectively. In spite of institution of RRT and supportive therapy, our data showed less favourable outcome of HUS.

Key words: Acute kidney injury; Chronic kidney disease; Children; Hemolytic uremic syndrome; Outcome; Sudan


 
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How to Cite this Article
Pubmed Style

Ali EMA, Abbakar NM, Raheem MBA, Ellidir RA. Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State. Sudan J Paed. 2017; 17(2): 42-48. doi:10.24911/SJP.2017.2.5

Web Style

Ali EMA, Abbakar NM, Raheem MBA, Ellidir RA. Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State. https://sudanjp.com//?mno=280453 [Access: June 23, 2026]. doi:10.24911/SJP.2017.2.5

AMA (American Medical Association) Style

Ali EMA, Abbakar NM, Raheem MBA, Ellidir RA. Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State. Sudan J Paed. 2017; 17(2): 42-48. doi:10.24911/SJP.2017.2.5


Vancouver/ICMJE Style

Ali EMA, Abbakar NM, Raheem MBA, Ellidir RA. Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State. Sudan J Paed. (2017), [cited June 23, 2026]; 17(2): 42-48. doi:10.24911/SJP.2017.2.5


Harvard Style

Ali, E. M. A., Abbakar, . N. M., Raheem, . M. B. A. & Ellidir, . R. A. (2017) Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State. Sudan J Paed, 17 (2), 42-48. doi:10.24911/SJP.2017.2.5


Turabian Style

Ali, Eltigani Mohamed Ahmed, Nagmelddin Mohamed Abbakar, Mohamed Babikir Abdel Raheem, and Rashid Abdelrahman Ellidir. 2017. Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State. Sudanese Journal of Paediatrics, 17 (2), 42-48. doi:10.24911/SJP.2017.2.5


Chicago Style

Ali, Eltigani Mohamed Ahmed, Nagmelddin Mohamed Abbakar, Mohamed Babikir Abdel Raheem, and Rashid Abdelrahman Ellidir. "Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State." Sudanese Journal of Paediatrics 17 (2017), 42-48. doi:10.24911/SJP.2017.2.5


MLA (The Modern Language Association) Style

Ali, Eltigani Mohamed Ahmed, Nagmelddin Mohamed Abbakar, Mohamed Babikir Abdel Raheem, and Rashid Abdelrahman Ellidir. "Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State." Sudanese Journal of Paediatrics 17.2 (2017), 42-48. Print. doi:10.24911/SJP.2017.2.5


APA (American Psychological Association) Style

Ali, E. M. A., Abbakar, . N. M., Raheem, . M. B. A. & Ellidir, . R. A. (2017) Characteristics and outcome of hemolytic uremic syndrome in Sudanese children in a single centre in Khartoum State. Sudanese Journal of Paediatrics, 17 (2), 42-48. doi:10.24911/SJP.2017.2.5




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    Editor in Chief: Prof Satti Abdulrahim Satti Mohamed, Professor of Pediatrics and Child Health. Pediatric Tropical & Infectious Disease Consultant, Faculty of Medicine, National University, Sudan. 

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