Enteric Fever Presenting as Hemolytic Uremic Syndrome

Hemolytic uremic syndrome is usually caused by toxigenic strains of E. coli or Shigella. HUS due to Salmonella typhi is a rare presentation. We present a seven year old child with diarrhea followed by microangiopathic hemolytic anemia, acute kidney injury and thrombocytopenia. Blood culture grew salmonella typhi (NARST). Supportive care with antibiotics, fluid and electrolyte management resulted in complete recovery in a week. Our child presented with mild clinical features hence didnt require peritoneal dialyses or blood transfusions.