We present the case of an 87-year-old woman with history of hypertension, hypercholesterolemia, ischemic heart diseases, urinary tract infections, and cerebrovascular disease who experienced a transient clinical picture characterized by confusion, lethargy, and acute renal dysfunction in the course of urinary tract infection with Escherichia coli bacteremia. Escherichia coli bloodstream infection was associated with brain computed tomography (CT) and magnetic resonance imaging (MRI) patterns in which the lesion distribution was consistent with posterior reversible encephalopathy syndrome (PRES). Diagnosis of PRES was confirmed by demonstration of vasogenic edema on apparent diffusion coefficient (ADC) maps and near-complete resolution of clinical manifestations at discharge.
Posterior reversible encephalopathy syndrome in an 87-year-old woman with Escherichia coli bloodstream infection / Fabbian, Fabio; Pala, Marco; Fallica, Elisa; Capone, Jay; Monetti, Vincenza Cinzia; Fratti, Daniela; Fainardi, Enrico. - In: CLINICAL AND EXPERIMENTAL NEPHROLOGY. - ISSN 1342-1751. - ELETTRONICO. - 14:(2010), pp. 176-179. [10.1007/s10157-009-0234-y]
Posterior reversible encephalopathy syndrome in an 87-year-old woman with Escherichia coli bloodstream infection
Fainardi, Enrico
2010
Abstract
We present the case of an 87-year-old woman with history of hypertension, hypercholesterolemia, ischemic heart diseases, urinary tract infections, and cerebrovascular disease who experienced a transient clinical picture characterized by confusion, lethargy, and acute renal dysfunction in the course of urinary tract infection with Escherichia coli bacteremia. Escherichia coli bloodstream infection was associated with brain computed tomography (CT) and magnetic resonance imaging (MRI) patterns in which the lesion distribution was consistent with posterior reversible encephalopathy syndrome (PRES). Diagnosis of PRES was confirmed by demonstration of vasogenic edema on apparent diffusion coefficient (ADC) maps and near-complete resolution of clinical manifestations at discharge.File | Dimensione | Formato | |
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