Posterior Reversible Encephalopathy Syndrome in a Patient with Hemorrhagic Fever with Renal Syndrome.
Journal
Case reports in infectious diseases
ISSN: 2090-6625
Titre abrégé: Case Rep Infect Dis
Pays: Egypt
ID NLM: 101573243
Informations de publication
Date de publication:
2020
2020
Historique:
received:
12
11
2019
accepted:
03
02
2020
entrez:
18
3
2020
pubmed:
18
3
2020
medline:
18
3
2020
Statut:
epublish
Résumé
We presently report the case of hantavirus infection in a 45-year-old male who was hospitalized to our clinic of infectious diseases, with fever, myalgia, vomiting, nausea, headache, and abdominal pain. The physical findings included hepatomegaly, splenomegaly, rash, and conjunctival injection. Eight days before the start of complaints, the patient has cut trees in the mountain. An acute renal failure was observed with an oliguria and an increase of serum creatinine and blood urea nitrogen. Urinalysis shows albuminuria and hematuria. Elevations of amylase, lipase, and liver enzymes levels, low serum albumin level, and thrombocytopenia were observed. A positive ELISA test for hantavirus IgM/IgG antibodies confirmed hemorrhagic fever with renal syndrome. On the third day of hospitalization, the patient had seizures. The unenhanced head computed tomography (CT) performed after seizures showed subcortical bilateral hypodensities within frontal, parietal, and occipital regions corresponding to areas of increased signal intensity in magnetic resonance imaging (MRI) associated with cerebral edema in posterior reversible encephalopathy syndrome (PRES). The treatment consisted of supportive therapy. The patient underwent another head MRI with contrast enhancement after 2 months, which resulted normal.
Identifiants
pubmed: 32181028
doi: 10.1155/2020/1017689
pmc: PMC7066413
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1017689Informations de copyright
Copyright © 2020 Ermira Muco et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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