دورية أكاديمية
Case report: Blood-transfusion induced posterior reversible encephalopathy syndrome.
| العنوان: | Case report: Blood-transfusion induced posterior reversible encephalopathy syndrome. |
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| المؤلفون: | Warr D; Emergency Medicine, Valleywise Health, United States of America. Electronic address: warrdillonj@gmail.com., Sammon M; Emergency Medicine, Lewis Katz School of Medicine at Temple University, United States of America., Zhou X; Clinical Neurology, Lewis Katz School of Medicine at Temple University, United States of America., Mullen MT; Neurology, Lewis Katz School of Medicine at Temple University, Director Stroke Program at Temple University Hospital, United States of America. |
| المصدر: | The American journal of emergency medicine [Am J Emerg Med] 2024 Sep; Vol. 83, pp. 161.e5-161.e7. Date of Electronic Publication: 2024 Jul 20. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: W B Saunders Country of Publication: United States NLM ID: 8309942 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8171 (Electronic) Linking ISSN: 07356757 NLM ISO Abbreviation: Am J Emerg Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1983- : Philadelphia, PA : W B Saunders Original Publication: [Philadelphia, PA. : Centrum Philadelphia, c1983]- |
| مواضيع طبية MeSH: | Posterior Leukoencephalopathy Syndrome*/etiology , Posterior Leukoencephalopathy Syndrome*/diagnosis, Humans ; Transfusion Reaction/diagnosis ; Transfusion Reaction/complications ; Female ; Status Epilepticus/etiology ; Anemia/etiology ; Magnetic Resonance Imaging ; Middle Aged ; Male |
| مستخلص: | Posterior reversible encephalopathy syndrome (PRES) is an increasingly recognized clinical entity associated with a variety of medical conditions. It is commonly considered in the presentation of uncontrolled, severe hypertension. However, more recently, it has been described in the setting of blood transfusion, particularly in those with chronic anemia, even in the absence of severe hypertension. We describe a patient who presented to the emergency department 12 days after large blood transfusion for severe, chronic anemia with headache, vision loss, expressive aphasia and a change in mental status, with only mild blood pressure elevation, who was ultimately diagnosed with PRES and refractory non-convulsive status epilepticus. Emergency physicians are often the first to initiate blood transfusion for those with a low hemoglobin. Therefore, it is prudent to proceed with caution in transfusing those with chronic anemia. It is also important for the emergency physician to keep PRES on the differential for those presenting with a neurologic complaint after correction of their chronic anemia, even in the absence of severe hypertension. Competing Interests: Declaration of competing interest None. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Chronic Anemia; PRES; Posterior reversible encephalopathy syndrome; Transfusion |
| تواريخ الأحداث: | Date Created: 20240721 Date Completed: 20240807 Latest Revision: 20240808 |
| رمز التحديث: | 20240809 |
| DOI: | 10.1016/j.ajem.2024.07.026 |
| PMID: | 39034175 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-8171 |
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| DOI: | 10.1016/j.ajem.2024.07.026 |