Posterior Reversible Encephalopathy Syndrome in a Patient with Hemorrhagic Fever with Renal Syndrome
Joint Authors
Muco, Ermira
Hasa, Amela
Rroji, Arben
Kushi, Arta
Puca, Edmond
Kraja, Dhimiter
Source
Case Reports in Infectious Diseases
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-29
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Muco, Ermira& Hasa, Amela& Rroji, Arben& Kushi, Arta& Puca, Edmond& Kraja, Dhimiter. 2020. Posterior Reversible Encephalopathy Syndrome in a Patient with Hemorrhagic Fever with Renal Syndrome. Case Reports in Infectious Diseases،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1148073
Modern Language Association (MLA)
Muco, Ermira…[et al.]. Posterior Reversible Encephalopathy Syndrome in a Patient with Hemorrhagic Fever with Renal Syndrome. Case Reports in Infectious Diseases No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1148073
American Medical Association (AMA)
Muco, Ermira& Hasa, Amela& Rroji, Arben& Kushi, Arta& Puca, Edmond& Kraja, Dhimiter. Posterior Reversible Encephalopathy Syndrome in a Patient with Hemorrhagic Fever with Renal Syndrome. Case Reports in Infectious Diseases. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1148073
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148073