Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent Elizabethkingiameningoseptica septicaemia in a dialysis patient
| Autor: | Sital Karki, Nestor Velasco, Oscar Rafael Tenreiro |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology Magnetic resonance angiography 03 medical and health sciences 0302 clinical medicine Flavobacteriaceae Infections Recurrence Renal Dialysis Sepsis medicine Humans infections renal system 030212 general & internal medicine Vasculitis Central Nervous System Dialysis neuroimaging diabetes medicine.diagnostic_test business.industry Polyarteritis nodosa Remission Induction General Medicine medicine.disease Reminder of Important Clinical Lesson Polyarteritis Nodosa Angiography Female Radiology Headaches medicine.symptom business Vasculitis Kidney disease Cerebral vasculitis |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2019-231478 |
| Popis: | We report a case of cerebral vasculitis in a 31-year-old woman who presented with chronic kidney disease stage 5, labile hypertension and severe headaches. The diagnosis of cerebral vasculitis made on magnetic resonance angiography (MRA) and late diagnosis of polyarteritis nodosa were made by conventional CT angiography. Immunosuppression was complicated by recurrent septicaemia due to Elizabethkingia meningoseptica. Treatment of the vasculitis resulted in marked improvement of MRA appearances, headaches and anxiety and stabilisation of blood pressure. The septicaemia required parenteral quinolone treatment and oral cotrimoxazole. |
| Databáze: | OpenAIRE |
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