Hemolytic uremic syndrome in a child with burn injuries.

We report the first case of hemolytic uremic syndrome in a patient with burns. An unusual case of the syndrome developed in a 1-year-old black girl hospitalized after second-degree burns to 33% of her total body surface area. Acute abdominal distention, hemolytic anemia, hematuria, and oliguric renal failure developed 1 week after admission to the burn unit. Blood cultures grew Escherichia coli O157:H7. She received supportive care and antibiotics, in addition to low-dose dopamine, which promptly reversed the oliguria. Dialysis was not required, and the child made a complete recovery.