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Persistent fever investigation saves patient's life
Megan Busch1, Priya Priyambada1, Tina Wells1
1Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AK, USA.
The Journal of Family Practice
|January 15, 2017
Summary
A woman experienced a seizure due to a hypertensive emergency from lupus nephritis. She was diagnosed with posterior reversible encephalopathy syndrome (PRES).
Area of Science:
- Nephrology
- Neurology
Background:
- Lupus nephritis is a severe kidney complication of systemic lupus erythematosus.
- Hypertensive emergencies can lead to serious neurological complications.
Observation:
- A 47-year-old female patient presented with a history of lupus nephritis.
- The patient experienced a hypertensive emergency, resulting in a seizure.
- This event occurred during a prior hospitalization.
Findings:
- The patient was diagnosed with posterior reversible encephalopathy syndrome (PRES).
- PRES is a neurological disorder often associated with severe hypertension.
- The diagnosis was made in the context of lupus nephritis complications.
Implications:
- This case highlights the critical link between lupus nephritis, hypertension, and PRES.
- Early recognition and management of hypertensive emergencies are crucial in lupus nephritis patients.
- Understanding PRES pathophysiology is vital for preventing neurological sequelae.
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