Rarely, diarrhea caused by bacterial food poisoning may be accompanied or followed by nose bleeding, body swelling, joint pains, muscle paralysis due to exaggerated body reaction to harmful bacteria.
Hemolytic Uremic Syndrome (HUS)
Hemolytic uremic syndrome (HUS) may appear in children with diarrhea caused by food poisoning with Escherichia coli 0157:H7 or other bacteria. From the intestine, bacteria may enter the blood and break down red blood cells (hemolysis) that clog kidney vessels resulting in kidney failure. (Uremia refers to increased blood urea, a product of protein metabolism that cannot be successfully removed by impaired kidneys so it builds up in the blood). Symptoms: nose bleeding, pale skin with bruises, profound fatigue, fever, swelling of the face or limbs and decreased urination or blood in the urine usually develop several days after the start of diarrhea, mostly in children under 10 years of age. A child with these symptoms have to be admitted to hospital promptly. Diagnosis is made by finding low level of red cells and platelets, and bacteria in the blood sample. Treatment with blood transfusion and kidney dialysis usually results in full recovery (1). Without proper treatment permanent kidney damage or even death may follow.
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