Posterior reversible encephalopathy syndrome in severe leptospirosis: A case report.

ABSTRACT:

Introduction

Posterior reversible encephalopathy syndrome (PRES) is a clinico-radiological entity with diverse aetiologies. It presents with headache, altered sensorium, seizures, and visual disturbances and is characterised by symmetrical white matter changes on neuroimaging. An acute rise in the blood pressure is the commonest cause of PRES. We report a patient who developed PRES in the recovery phase of severe leptospirosis. We discuss the interplay of possible patho-mechanisms of PRES in leptospirosis.

Case presentation

A 14-year-old Sri Lankan male presented with a 5-day history of high-grade fever and myalgia and a 2-day history of oliguria. Physical examination was unremarkable. Leptospirosis was diagnosed using the microscopic agglutination test. During hospitalisati

SUBMITTER: Palliyaguru T 

PROVIDER: S-EPMC12320078 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature