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Posterior Reversible Encephalopathy Syndrome in a Patient with Newly Diagnosed HIV Infection and End Stage Renal Disease
Joint Authors
Gowdar, Shreyas D.
Jayam-Trouth, Annapurni
Castellanos, Maria I.
Kurukumbi, Mohankumar
Crawford, Amanda K.
Source
Case Reports in Neurological Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological syndrome in which patients present with an acute or subacute clinical presentation of seizures, visual disturbances, headache, and altered mental status.
The pathophysiology of PRES may be explained by endothelial dysfunction that leads to transudation of fluids and protein, resulting in vasogenic cerebral edema.
PRES is typically associated with many conditions such as hypertension, uremia, immunosuppressive drugs, and sepsis.
This is a case report of a 39-year-old woman with untreated HIV infection and end-stage renal disease (ESRD) who developed PRES with a normal blood pressure and no other known causes of PRES.
Untreated HIV is associated with known endothelial dysfunction and we believe that this, in combination with her untreated end-stage renal disease, contributed to her unique presentation of PRES.
Although uncommon in HIV-infected patients and challenging to diagnose, prompt recognition of PRES is critical to provide appropriate care and ensure reversibility of the vasogenic edema seen in PRES.
American Psychological Association (APA)
Kurukumbi, Mohankumar& Castellanos, Maria I.& Crawford, Amanda K.& Gowdar, Shreyas D.& Jayam-Trouth, Annapurni. 2013. Posterior Reversible Encephalopathy Syndrome in a Patient with Newly Diagnosed HIV Infection and End Stage Renal Disease. Case Reports in Neurological Medicine،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-474351
Modern Language Association (MLA)
Kurukumbi, Mohankumar…[et al.]. Posterior Reversible Encephalopathy Syndrome in a Patient with Newly Diagnosed HIV Infection and End Stage Renal Disease. Case Reports in Neurological Medicine No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-474351
American Medical Association (AMA)
Kurukumbi, Mohankumar& Castellanos, Maria I.& Crawford, Amanda K.& Gowdar, Shreyas D.& Jayam-Trouth, Annapurni. Posterior Reversible Encephalopathy Syndrome in a Patient with Newly Diagnosed HIV Infection and End Stage Renal Disease. Case Reports in Neurological Medicine. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-474351
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-474351