We
report a case of streptococcal
pneumonia associated haemolytic uraemic
syndrome (SP-HUS) in a 4-year old
child . It is a rare complication of invasive
streptococcus pneumonia infection . This article touches on the how the
patient 's
mother was unusually calm after
hearing the bad news. Factors that could account for her reaction are explored. Other issues triggered by this case were questions on the pathophysiology, clinical features,
treatment and
prognosis of this complication. We also discussed "catch-up"
vaccination for
children immunised with the old 7-valent
pneumococcal vaccine ,
early diagnosis of
community acquired
pneumonia , recognising
antibiotic failure and SP-HUS.