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Renal involvement in severe sepsis and septic shock of small children
Despite of the decrease in mortality caused by sepsis in the latest years, the septic shock still remains a major cause of morbidity and mortality for the children younger than 5 years old. The kidney is involved and constantly affected in this pathology, bacterial infections being the main cause. Acute kidney failure may be the major manifestation of the disease, being at the same time a priority of the therapeutic approach. In this paper, the authors present the renal involvement in the meningococcemia, as well as in the uremic hemolytic syndrome caused by E. Coli O157: H7 and by streptococcus pneumoniae, all of them representing diseases that require specific diagnostic and therapeutic approaches.
Key words: sepsis, septic shock, meningococcemia, uremic hemolytic syndrome, little child