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 (1610 IU/mL) and the patient was diagnosed with poststreptococcal glomerulonephritis.
On day 2 of hospitalisation, he developed headache, blurred vision and confusion, followed by a tonic–clonic seizure. The blood pressure recorded before the seizure was 138/98 mm Hg. Brain CT showed decreased white matter attenuation of the bilateral parieto-occipital and...
http://ift.tt/2psXsMZ
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου