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BMJ Case Reports 2017; doi:10.1136/bcr-2017-220043

Posterior reversible encephalopathy in an adult patient with poststreptococcal glomerulonephritis

  1. Jungrak Hong
  1. Department of Medicine, Metropolitan Hospital Center, New York, New York, USA
  1. Correspondence to Dr Hans Alexi Reyes, hansreyesg{at}gmail.com
  • Accepted 24 March 2017
  • Published 17 April 2017

Description

A previously healthy 32-year-old man presented to the hospital with cough, sore throat, facial swelling and intermittent fever for 1 week. Initial physical examination revealed blood pressure of 160/98 mm Hg, erythematous throat, bilateral periorbital swelling, right basilar crackles and no neurological abnormalities. Laboratory tests were remarkable for leucocytosis (13 320 cell/mm3), hyperkalaemia (5.2 mmoL/L), azotemia (Cr 2 mg/dL), haematuria (urine red blood cells of 50–100 cells/high power field) and proteinuria (urine protein/creatine ratio >7 g/gCr). Chest X-ray showed right lower lobe pneumonia with parapneumonic effusion. The patient was admitted for community-acquired pneumonia, non-oliguric acute kidney injury and nephritic syndrome. Later, antistreptolysin O was found to be elevated …

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