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The Hemolytic Uremic Syndrome (HUS) in its typical form occurs after a food born infection with a shiga-toxin secreting bacteria, usually Escherichia coli of the O157H7 serotype. An outbreak of bloody diarrhea followed by HUS begun after a collective meal with 120 persons on June 8th, 2011 in Bègles, a city of Bordeaux urban area (CUB).
At least 9 patients, 8 adults and 1 child have been involved in this HUS outbreak, E. coli of the O104:H4 serotype being demonstrated in most patients. This outbreak is remarkable by its preponderance in adults and women, its aggressiveness with multiorgan involvement , i.e. the kidneys, brain, liver, pancreas, and skin.
Pathophysiology, prognosis, and treatment of typical HUS are poorly defined, particularly in adults who are usually not involved in typical E. coli O157H7 HUS.
The aim of the present study is to gain knowledge on these different aspects of the HUS, including response to therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HUS epidemy in Bordeaux, E. coli of the O104H4 serotype |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HUS standard coverage care (including in ICU) | Other | HUS standard coverage care : plasmaphereses - eculizumab - Immunoadsorption |
|
| Measure | Description | Time Frame |
|---|---|---|
| Improve scientific knowledge on epidemic HUS in the context of an outbreak of E. coli O104:H4 HUS in the town of Bègles, urban area of Bordeaux, France | This is an observational propspective study in which all data will be collected on all pertinent aspects of disease, including therapeutic regimens. | during patient hospitalization |
| Measure | Description | Time Frame |
|---|---|---|
| evaluate efficiency of therapeutic and diagnostic strategies | during patient hospitalization |
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Inclusion Criteria:
Exclusion Criteria:
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dinner guest to a collective meal on June 8th, 2011 in Bègles, a city of Bordeaux urban area (CUB).
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| Name | Affiliation | Role |
|---|---|---|
| christian COMBE, MD | University Hospital, Bordeaux | Study Director |
| Christian COMBE, MD | University Hospital, Bordeaux | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de Néphrologie, transplantation dialyse - Hôpital Pellegrin | Bordeaux | 33076 | France |
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| ID | Term |
|---|---|
| D006463 | Hemolytic-Uremic Syndrome |
| D004927 | Escherichia coli Infections |
| ID | Term |
|---|---|
| D014511 | Uremia |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| ID | Term |
|---|---|
| D007362 | Intensive Care Units |
| ID | Term |
|---|---|
| D006757 | Hospital Units |
| D006268 | Health Facilities |
| D005159 | Health Care Facilities Workforce and Services |
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| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D000743 | Anemia, Hemolytic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D057049 | Thrombotic Microangiopathies |
| D013921 | Thrombocytopenia |
| D001791 | Blood Platelet Disorders |
| D000095542 | Cytopenia |
| D004756 | Enterobacteriaceae Infections |
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |