Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent E lizabethkingia meningoseptica septicaemia in a dialysis patient

We report a case of cerebral vasculitis in a 31-year-old woman who presented with chronic kidney disease stage 5, labile hypertension and severe headaches. The diagnosis of cerebral vasculitis made on magnetic resonance angiography (MRA) and late diagnosis of polyarteritis nodosa were made by conven...

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Autores principales: Velasco, Nestor, Karki, Sital, Tenreiro, Oscar Rafael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Reminder of Important Clinical Lesson
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6887464/
https://www.ncbi.nlm.nih.gov/pubmed/31780617
http://dx.doi.org/10.1136/bcr-2019-231478
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author Velasco, Nestor
Karki, Sital
Tenreiro, Oscar Rafael
author_facet Velasco, Nestor
Karki, Sital
Tenreiro, Oscar Rafael
author_sort Velasco, Nestor
collection PubMed
description We report a case of cerebral vasculitis in a 31-year-old woman who presented with chronic kidney disease stage 5, labile hypertension and severe headaches. The diagnosis of cerebral vasculitis made on magnetic resonance angiography (MRA) and late diagnosis of polyarteritis nodosa were made by conventional CT angiography. Immunosuppression was complicated by recurrent septicaemia due to Elizabethkingia meningoseptica. Treatment of the vasculitis resulted in marked improvement of MRA appearances, headaches and anxiety and stabilisation of blood pressure. The septicaemia required parenteral quinolone treatment and oral cotrimoxazole.
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spelling pubmed-68874642019-12-04 Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent E lizabethkingia meningoseptica septicaemia in a dialysis patient Velasco, Nestor Karki, Sital Tenreiro, Oscar Rafael BMJ Case Rep Reminder of Important Clinical Lesson We report a case of cerebral vasculitis in a 31-year-old woman who presented with chronic kidney disease stage 5, labile hypertension and severe headaches. The diagnosis of cerebral vasculitis made on magnetic resonance angiography (MRA) and late diagnosis of polyarteritis nodosa were made by conventional CT angiography. Immunosuppression was complicated by recurrent septicaemia due to Elizabethkingia meningoseptica. Treatment of the vasculitis resulted in marked improvement of MRA appearances, headaches and anxiety and stabilisation of blood pressure. The septicaemia required parenteral quinolone treatment and oral cotrimoxazole. BMJ Publishing Group 2019-11-28 /pmc/articles/PMC6887464/ /pubmed/31780617 http://dx.doi.org/10.1136/bcr-2019-231478 Text en © BMJ Publishing Group Limited 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Reminder of Important Clinical Lesson
Velasco, Nestor
Karki, Sital
Tenreiro, Oscar Rafael
Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent E lizabethkingia meningoseptica septicaemia in a dialysis patient
title Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent E lizabethkingia meningoseptica septicaemia in a dialysis patient
title_full Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent E lizabethkingia meningoseptica septicaemia in a dialysis patient
title_fullStr Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent E lizabethkingia meningoseptica septicaemia in a dialysis patient
title_full_unstemmed Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent E lizabethkingia meningoseptica septicaemia in a dialysis patient
title_short Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent E lizabethkingia meningoseptica septicaemia in a dialysis patient
title_sort successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent e lizabethkingia meningoseptica septicaemia in a dialysis patient
topic Reminder of Important Clinical Lesson
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6887464/
https://www.ncbi.nlm.nih.gov/pubmed/31780617
http://dx.doi.org/10.1136/bcr-2019-231478
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AT tenreirooscarrafael successfultreatmentsofpolyarteritisnodosacerebralvasculitisandrecurrentelizabethkingiameningosepticasepticaemiainadialysispatient

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