Posterior Reversible Encephalopathy (PRES) in a Child with Severe Dengue
| Autor: | Suresh Birajdar, Deepak Patkar, Narayan C Joshi, Hiren Doshi, Pooja Soni, Yogini Sawant |
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| Rok vydání: | 2019 |
| Předmět: |
Inotrope
medicine.medical_specialty Resuscitation Encephalopathy Gastroenterology Dengue fever 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid Seizures 030225 pediatrics Internal medicine medicine Humans Severe Dengue Child Brain Diseases medicine.diagnostic_test business.industry Brain Magnetic resonance imaging Posterior reversible encephalopathy syndrome medicine.disease Magnetic Resonance Imaging Infectious Diseases Shock (circulatory) Pediatrics Perinatology and Child Health Hypertension Female Posterior Leukoencephalopathy Syndrome medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of tropical pediatrics. 66(3) |
| ISSN: | 1465-3664 |
| Popis: | Among neurological complications associated with dengue, posterior reversible encephalopathy syndrome (PRES) has not been reported in pediatric population. We report a 10-year-old girl with severe dengue who developed PRES. The patient presented with hemorrhagic shock that required fluid resuscitation and inotropic support. She developed seizures with encephalopathy 2 days after recovering from the shock. Cerebrospinal fluid (CSF) examination was negative for dengue (no white blood cells in CSF with negative polymerase chain reaction for dengue). Her clinical features and magnetic resonance imaging (MRI) findings showed typical changes associated with posterior encephalopathy that reverted after resolution of hypertension. Repeat MRI after a month was normal. PRES should be considered as a possible differential diagnoses of dengue associated encephalopathy, especially in cases with normal CSF examination and characteristic MRI changes. |
| Databáze: | OpenAIRE |
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