Rarely other organisms, such as Shigella and Streptococcus pneumoniae, are implicated. Acute kidney injury necessitating dialysis develops in approximately half of children with diarrhoea-associated HUS. Adequate hydration is important to minimise renal damage in HUS associated with Shiga toxin-producing E coli infections. Shigella infection is easily spread by faecal-oral contact or by contaminated water or food. It usually presents as a mild, self-limiting diarrhoeal illness. is more common in low- and middle-income countries and causes a more severe illness with dysentery. type 1 is a cause of haemolytic urae... Rarely other organisms, such as Shigella and Streptococcus pneumoniae, are implicated. Acute kidney injury necessitating dialysis develops in approximately half of children with diarrhea-associated HUS. Adequate hydration is important to minimize renal damage in HUS associated with Shiga toxin-producing E coli infections. Raramente, estão envolvidos outros organismos, como Shigella e Streptococcus pneumoniae. A lesão renal aguda que requer diálise ocorre em aproximadamente metade das crianças com SHU associada à diarreia.