Haemolytic Uremic Syndrome

Ms. Saroja.T 62 years who admitted in a private hospital with complaints of facial puffiness, nausea, vomiting for one week.she is recently diagnostic with hypertension since one months. On the day of admission, she was hemodynamically unstable. Investigations reveals MRI brain on 08.02.2020 showed global mild cerebral atrophy, discrete and early confluent chronic small vessel white matter ischemic changes in bilateral cerebral hemispheres,? central pontine myelinolysis.under aseptic precaution LP done on 08.02.2020.Csf cytology showed smear all negative for malignancy.NTpro BNPwas 4391. CSF cultures showed no growth. ANA was positive with homogeneous pattern 1+ intensity in 1;100 dilution.USG abdomen and pelvis showed simple rightlobe hepatic cysts, bilateral normal sized kidneys with slightly increased cortical echoes. CSF cell count 50, RBC-30,000, Chloride -113, protein -72 others were normal. No TB X-PERT detected.OGD scopy showed mild LAX LES,Erosive Gastro Duodenitis.CLO negative.echocardiogram showed mild MR/AV-normal/TR trace/mild PAH/mild LVHwith good LVsystolic function/grade I LVDD/IVC-1.4 cm.patient started with iv antibiotics,corticosteroids,and other supportive drugs.patient treated symptomatically and with antihypertensive drugs.