Haemolytic uraemic syndrome after pneumococcal infection usually appears in a young child already unwell with complicated pneumonia, and the early signs are easily attributed to sepsis. A falling haemoglobin, low platelets, fragmented red cells on the film and a rising creatinine together should prompt urgent discussion with the renal and haematology teams before transfusing blood products.
- Check haemoglobin, platelets, blood film and creatinine in children with empyema or necrotising pneumonia.
- Monitor urine output closely.
- Discuss with haematology and nephrology before giving plasma or blood products.
Why it matters
Early recognition allows timely kidney support and the right choice of blood products.
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