**Core Concept**
Hemolytic uremic syndrome (HUS) is a complex condition characterized by the triad of microangiopathic hemolytic anemia, acute kidney injury, and thrombocytopenia. It is often triggered by infections, particularly those caused by certain bacteria.
**Why the Correct Answer is Right**
The most common organism causing HUS is *Escherichia coli* (E. coli), specifically the Shiga toxin-producing E. coli (STEC). This bacterium produces Shiga toxin, which causes endothelial damage and leads to the formation of microthrombi in the kidneys, resulting in HUS.
**Why Each Wrong Option is Incorrect**
**Option A:** *Streptococcus pneumoniae* is a common cause of pneumonia and meningitis, but it is not typically associated with HUS.
**Option B:** *Salmonella Typhi* causes typhoid fever, but it is not commonly linked to HUS.
**Option C:** *Staphylococcus aureus* can cause a range of infections, including skin and soft tissue infections, but it is not the primary cause of HUS.
**Clinical Pearl / High-Yield Fact**
In children, HUS is often associated with E. coli O157:H7 infection, which can be acquired through contaminated food or water. Prompt recognition and treatment of E. coli infections are crucial in preventing the development of HUS.
**Correct Answer:** A. Escherichia coli.
Free Medical MCQs · NEET PG · USMLE · AIIMS
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