scholarly journals Influenza A-induced rhabdomyolysis and acute kidney injury complicated by posterior reversible encephalopathy syndrome

Anaesthesia ◽  
2011 ◽  
Vol 66 (8) ◽  
pp. 738-742 ◽  
Author(s):  
R. A. Fearnley ◽  
S. W. Lines ◽  
A. J. P. Lewington ◽  
A. R. Bodenham
Keyword(s):  
Acute Kidney Injury ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Influenza A ◽  
Kidney Injury ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy

scholarly journals A rare case of posterior reversible encephalopathy syndrome in a patient with severe leptospirosis complicated with rhabdomyolysis and acute kidney injury; a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jayawardane Pathiranage Roneesha Lakmali ◽  
Kanapathipillei Thirumavalavan ◽  
Danapala Dissanayake
Keyword(s):  
Blood Pressure ◽  
Acute Kidney Injury ◽  
Blood Pressure Control ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Vision Loss ◽  
Kidney Injury ◽  
Pressure Control ◽  
Posterior Reversible Encephalopathy ◽  
Peripheral Nerve Involvement ◽  
Reversible Encephalopathy

Abstract Background Leptospirosis is a zoonotic spirochetal disease caused by Leptospira interrogans. The clinical presentation ranges from an asymptomatic state to a fatal multiorgan dysfunction. Neurological manifestations including aseptic meningitis, spinal cord and peripheral nerve involvement, cranial neuropathies and cerebellar syndrome are well recognized with varying frequencies among patients with this disease. Posterior reversible encephalopathy syndrome is a very rare occurrence in leptospirosis and only two cases are reported in the medical literature up to now. We report a case of posterior reversible encephalopathy syndrome in a patient with leptospirosis with rhabdomyolysis and acute kidney injury. Case presentation A 21 year-old male presented with fever and oliguric acute kidney injury with rhabdomyolysis. A diagnosis of leptospirosis was made and he was being managed according to the standard practice together with regular hemodialysis. The clinical condition was improving gradually. On day 8 of the illness, he developed headache and sudden painless complete bilateral vision loss followed by several brief generalized tonic clonic seizure attacks. Examination was significant for a Glasgow Coma Scale of 14/15, blood pressure of 150/90 mmHg and complete bilateral blindness. The findings of magnetic resonance imaging of the brain were compatible with posterior reversible encephalopathy syndrome. He was managed with blood pressure control and antiepileptics with supportive measures and standard treatment for leptospirosis and made a complete recovery. Conclusion Posterior reversible encephalopathy syndrome, though very rare with leptospirosis, should be considered as a differential diagnosis in a patient with new onset visual symptoms and seizures, especially during the immune phase. Optimal supportive care together with careful blood pressure control and seizure management would yield a favourable outcome in this reversible entity.

scholarly journals Late onset postpartum eclampsia complicated with posterior reversible encephalopathy syndrome

2020 ◽  
Vol 24 (2) ◽  
pp. 234-236
Author(s):  
Ejaz Khan ◽  
Rovnat Babazade
Keyword(s):  
Acute Kidney Injury ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Late Onset ◽  
Kidney Injury ◽  
Resonance Imaging ◽  
Unique Case ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy ◽  
Hypertensive Episode ◽  
Visual Disturbances

Posterior reversible encephalopathy syndrome (PRES) is a rare entity characterized by headache, vomiting, visual disturbances, seizure and unconsciousness with characteristic magnetic resonance imaging. Late onset postpartum eclampsia complicated by PRES has been reported in the literature, We report a unique case of 23-year-old patient who developed late onset postpartum eclampsia complicated by PRES and acute kidney injury requiring renal replacement therapy. The case report emphasizes the need to continue antihypertensive medication in hypertensive parturients during postpartum period for at least 6 weeks as frequency of late postpartum eclampsia is high. The medication should be tapered off slowly to avoid reactive hypertensive episode which might trigger PRES and acute kidney injury.

Unusual posterior reversible encephalopathy syndrome in a case of influenza A/H1N1 infection

2012 ◽  
Vol 321 (1-2) ◽  
pp. 114-116 ◽  
Author(s):  
Nicoletta Locuratolo ◽  
Daniela Mannarelli ◽  
Claudio Colonnese ◽  
Caterina Pauletti ◽  
Laura Antonaci ◽  
...  
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Influenza A ◽  
H1n1 Infection ◽  
Posterior Reversible Encephalopathy ◽  
Influenza A H1n1 ◽  
Reversible Encephalopathy

scholarly journals Heat Stroke with Status Epilepticus Secondary to Posterior Reversible Encephalopathy Syndrome (PRES)

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Y. H. Koh
Keyword(s):  
Status Epilepticus ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Core Body Temperature ◽  
Heat Stroke ◽  
Kidney Injury ◽  
Organ Damage ◽  
Multisystem Disorder ◽  
Posterior Reversible Encephalopathy ◽  
Central Nervous System Dysfunction ◽  
Reversible Encephalopathy

Heat stroke is a life threatening, multisystem disorder characterized by severe hyperthermia (core body temperature > 41.1°C) with central nervous system dysfunction and/or other end organ damage. Neurological complications, such as disturbances of consciousness, convulsion, profound mental change, disorientation, or even prolonged coma, were present in almost all cases of exertional heat stroke (EHS). We present a case of EHS with severe rhabdomyolysis and acute oliguric kidney injury in a 20-year-old healthy marathon runner, who developed status epilepticus on Day 4 of his admission. The patient was managed in ICU with renal replacement therapy and aggressive seizure control. He made a full recovery after 2 weeks of ICU stay. Diagnosis of EHS with posterior reversible encephalopathy syndrome (PRES) secondary to acute kidney injury was made.

Sign in / Sign up

Export Citation Format

Share Document