# A Diagnostically Challenging Case of Typical Hemolytic Uremic Syndrome Successfully Treated With Eculizumab Therapy

**Authors:** Adarsh Jha, Georgette Nader, Sumugdha Rayamajhi, Muhammad Hamdan

PMC · DOI: 10.7759/cureus.84362 · Cureus · 2025-05-18

## TL;DR

A severe case of typical hemolytic uremic syndrome was successfully treated with eculizumab despite diagnostic challenges.

## Contribution

Demonstrates successful treatment of a complex typical HUS case using eculizumab.

## Key findings

- Eculizumab therapy successfully treated a severe case of typical HUS.
- Multidisciplinary care was essential in managing complications.
- Diagnostic challenges were overcome through careful clinical evaluation.

## Abstract

Hemolytic uremic syndrome (HUS) is a thrombotic microangiopathy that induces microvesicular injury and occlusion and often results in acute renal failure. Atypical HUS is life-threatening and often progresses to end-stage renal disease (ESRD). However, distinguishing between typical and atypical HUS can be challenging due to comorbid conditions and/or laboratory delays. We present a severe case of typical HUS involving a series of complications requiring multidisciplinary care, successfully treated with eculizumab therapy.

## Linked entities

- **Diseases:** Hemolytic uremic syndrome (MONDO:0001549), atypical HUS (MONDO:0016244), end-stage renal disease (MONDO:0004375)

## Full-text entities

- **Diseases:** HUS (MESH:D006463), acute renal failure (MESH:D058186), ESRD (MESH:D007676), thrombotic microangiopathy (MESH:D057049)
- **Chemicals:** Eculizumab (MESH:C481642)

## Full text

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## Figures

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## References

14 references — full list in the complete paper: https://tomesphere.com/paper/PMC12174476/full.md

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Source: https://tomesphere.com/paper/PMC12174476