Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney Injury
Severe leptospirosis (Weil’s disease) can give rise to multiorgan failure such as acute renal failure, liver dysfunction, coagulopathy, acute respiratory distress syndrome, pulmonary haemorrhage, and myocarditis. Leptospirosis is a biphasic disease characterised by leptospiraemic phase and immunolog...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2019/6498315 |
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| _version_ | 1832548941612187648 |
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| author | W. D. D. Priyankara E. M. Manoj |
| author_facet | W. D. D. Priyankara E. M. Manoj |
| author_sort | W. D. D. Priyankara |
| collection | DOAJ |
| description | Severe leptospirosis (Weil’s disease) can give rise to multiorgan failure such as acute renal failure, liver dysfunction, coagulopathy, acute respiratory distress syndrome, pulmonary haemorrhage, and myocarditis. Leptospirosis is a biphasic disease characterised by leptospiraemic phase and immunological phase. Although neurological manifestations are rare in leptospirosis, aseptic meningitis, myeloradiculopathy, transverse myelitis, and cerebellar syndrome are well recognised. We report a rare case of posterior reversible encephalopathy syndrome (PRES) in a patient with severe leptospirosis during recovery phase of the illness. |
| format | Article |
| id | doaj-art-3043f00c777f423cbc9f8454887df503 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-3043f00c777f423cbc9f8454887df5032025-02-03T06:12:34ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/64983156498315Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney InjuryW. D. D. Priyankara0E. M. Manoj1Consultant Intensivist, National Hospital of Sri Lanka, Colombo, Sri LankaConsultant Intensivist, National Hospital of Sri Lanka, Colombo, Sri LankaSevere leptospirosis (Weil’s disease) can give rise to multiorgan failure such as acute renal failure, liver dysfunction, coagulopathy, acute respiratory distress syndrome, pulmonary haemorrhage, and myocarditis. Leptospirosis is a biphasic disease characterised by leptospiraemic phase and immunological phase. Although neurological manifestations are rare in leptospirosis, aseptic meningitis, myeloradiculopathy, transverse myelitis, and cerebellar syndrome are well recognised. We report a rare case of posterior reversible encephalopathy syndrome (PRES) in a patient with severe leptospirosis during recovery phase of the illness.http://dx.doi.org/10.1155/2019/6498315 |
| spellingShingle | W. D. D. Priyankara E. M. Manoj Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney Injury Case Reports in Critical Care |
| title | Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney Injury |
| title_full | Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney Injury |
| title_fullStr | Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney Injury |
| title_full_unstemmed | Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney Injury |
| title_short | Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney Injury |
| title_sort | posterior reversible encephalopathy in a patient with severe leptospirosis complicated with pulmonary haemorrhage myocarditis and acute kidney injury |
| url | http://dx.doi.org/10.1155/2019/6498315 |
| work_keys_str_mv | AT wddpriyankara posteriorreversibleencephalopathyinapatientwithsevereleptospirosiscomplicatedwithpulmonaryhaemorrhagemyocarditisandacutekidneyinjury AT emmanoj posteriorreversibleencephalopathyinapatientwithsevereleptospirosiscomplicatedwithpulmonaryhaemorrhagemyocarditisandacutekidneyinjury |