The Singapore Family Physician

Back to issue Vol 40 No. 3 - Wound Care

Streptococcal Pneumonia Associated Haemolytic Uraemic Syndrome (SP-HUS) in a 4-year-old boy - A rare but serious condition. What should primary care physicians know?

Wang Mingchang
Shum Oi Han
The Singapore Family Physician Vol 40 No 3 - Wound Care
43 - 48
1 September 2014
We report a case of streptococcal pneumonia associated haemolytic uraemic syndrome (SP-HUS) in a 4-year old child. It is a rare complication of invasive streptococcus pneumoniae infection. This article touches on the how the patient's mother was unusually calm after hearing the bad news. Factors that could account for her reaction are explored. Other issues triggered by this case were questions on the pathophysiology, clinical features, treatment and prognosis of this complication. We also discussed "catch-up" vaccination for children immunised with the old 7-valent pneumococcal vaccine, early diagnosis of community acquired pneumonia, recognising antibiotic failure and SP-HUS.