Publications by authors named "Lucas I Lucarelli"

Article Synopsis
  • The study focuses on treating four children with FH antibody-mediated hemolytic uremic syndrome (HUS) using eculizumab, an alternative therapy, alongside immunosuppression instead of traditional treatments like plasmapheresis.
  • In the review, patients displayed improvements in hematological signs and kidney function within weeks of starting eculizumab, with three of them discontinuing the treatment after six months without complications.
  • The findings indicate that a short eculizumab regimen could effectively reverse severe symptoms and enhance kidney health, potentially with lower relapse risks when combined with immunosuppressive agents.
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Background: Most studies regarding kidney outcomes in patients with Shiga toxin-producing Escherichia coli-hemolytic uremic syndrome (STEC-HUS) focus on kidney status at last assessment. We aimed to describe patterns of changes in kidney function during follow-up and investigate associations between kidney function at 1st, 5th, and 10th year after onset and long-term kidney outcomes.

Methods: Data of patients with STEC-HUS followed for at least 15 years were analyzed.

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Background: A substantial proportion of patients with Escherichia coli-hemolytic uremic syndrome (STEC-HUS) evolve to chronic kidney disease (CKD). The objectives of this study were to evaluate long-term kidney outcomes and to identify CKD predictors.

Methods: In this single-center retrospective study, long-term outcomes of patients were analyzed according to the presence of complete recovery (CR) or CKD at last visit.

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Background: Long-term kidney outcomes of non-dialyzed children with Shiga-toxin Escherichia Coli hemolytic uremic syndrome (STEC-HUS) have been scantily studied. Therefore, we aimed to evaluate kidney outcomes and prognostic markers in these patients.

Methods: Non-dialyzed STEC-HUS patients followed for at least 5 years were included.

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Introduction: Knowing the duration of fecal shedding of Shiga toxin-producing Escherichia coli (STEC) among patients with hemolytic uremic syndrome would be useful to control disease transmission.

Objectives: 1) To analyze the characteristics of STEC shedding duration. 2) To assess the association with sex, age, need of dialysis, antibiotics, and STEC serotypes.

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Streptococcus pneumoniae associated hemolytic uremic syndrome (Sp-HUS) is defined as microangiopathic hemolytic anemia, thrombocytopenia and acute renal injury, in a patient with Streptococcus pneumoniae (Sp) invasive infection. A 2-year-old boy was admitted with pneumonia and empyema. Sp was isolated from blood and pleural fluid cultures.

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The objective is to establish the frequency of STEC infections in household contacts of HUS patients. We studied 292 household contacts of 82 HUS patients attended from 2010 to 2018. In HUS cases, diagnostic criteria were (1) isolation and characterization of STEC strains, (2) detection of free fecal Shiga toxin (FFStx), and (3) detection of anti-O serogroup-specific antibodies.

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