Infection-provoked reversible posterior leukoencephalopathy syndrome in an adult with nephrotic syndrome: a case report
| Autor: | Huang-Chi Chen, Li-Min Liou, Chiou-Lian Lai, Kuan-Ying Li, Ching-Fang Chien, Meng-Ni Wu, Chin-Ling Tsai |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Pediatrics Neurology Nausea medicine.medical_treatment Nephrotic syndrome Blood Pressure Case Report Infections lcsh:RC346-429 03 medical and health sciences 0302 clinical medicine Seizures Reversible posterior leukoencephalopathy syndrome Humans Medicine 030212 general & internal medicine lcsh:Neurology. Diseases of the nervous system business.industry Headache Immunosuppression General Medicine medicine.disease Pneumonia Blood pressure Female Posterior Leukoencephalopathy Syndrome Neurology (clinical) Neurosurgery Headaches medicine.symptom business Infection 030217 neurology & neurosurgery |
| Zdroj: | BMC Neurology BMC Neurology, Vol 20, Iss 1, Pp 1-4 (2020) |
| ISSN: | 1471-2377 |
| Popis: | Background Reversible posterior leukoencephalopathy syndrome (RPLS) is a rare and heterogeneous clinico-neuroradiological syndrome characterized by headache, altered mental status, seizures, and visual disturbances. Hypertension and immunosuppression are two of the main factors that predispose an individual to RPLS. However, RPLS can develop when no major risk factors are present. RPLS has been reported in pediatric nephrotic patients, but rarely in adults. Case presentation A 42-year-old Asian woman with nephrotic syndrome presented with seizures, headaches, and nausea. Her blood pressure was controlled, and no immunosuppressants had been prescribed. All symptoms and tests indicated RPLS following infection with pneumonia, which was successfully treated by immediate administration antibiotic and anti-epileptic medications. Seizures did not recur during a 2-year follow-up period. Conclusions When patients with nephrotic syndrome have an infection, RPLS symptoms should be investigated thoroughly. With early diagnosis and appropriate treatment of RPLS, morbidity and mortality can be prevented. |
| Databáze: | OpenAIRE |
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