When should I consider referring a patient with HUS to a specialist for further management?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 17 August 2025Updated: 17 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Consider referring a patient with haemolytic uraemic syndrome (HUS) to a specialist immediately for further management, especially in children with Shiga toxin-producing Escherichia coli (STEC) infection. Specialist advice should be sought on monitoring and managing HUS due to its potential severity and complications.

In practice, this means that any child suspected of having STEC infection should have specialist input to monitor for HUS development and manage accordingly.

Educational content only. Always verify information and use clinical judgement.