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{
    "pk": 1461,
    "title": "Posterior Reversible Encephalopathy Syndrome in a Patient with Septic Shock: A Case Report",
    "subtitle": null,
    "abstract": "<p><b>Introduction:</b> Posterior reversible encephalopathy syndrome (PRES) is a reversible condition with nonspecific neurologic and characteristic radiologic findings. Clinical presentation may include headache, nausea, vomiting, altered mental status, seizures, and vision changes. Diagnosis is confirmed through T2-weighted brain magnetic resonance imaging (MRI) showing bilateral hyperintensities in the white matter of posterior circulatory regions.&nbsp;</p><p><b>Case Report:</b> We report a case of PRES in a patient suffering from complicated diverticulitis. Following medical management in the emergency department, the patient deteriorated, becoming hypotensive and altered. Bowel resection under general anesthesia was performed. Postoperative brain MRI demonstrated bilateral and symmetric T2 signal hyperintensities suggestive of PRES. Following supportive treatment, the patient was discharged from the surgical intensive care unit on postoperative day 21 with no residual deficits.</p><p><b>Conclusion:</b> It is important to recognize the nonspecific neurologic symptoms associated with PRES. Emergency physicians should suspect acute PRES when managing patients with prolonged or unexplained encephalopathy, while recognizing that hypertension need not be present.</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "posterior reversible encephalopathy syndrome; PRES; septic shock; case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1wk813q6",
    "frozenauthors": [
        {
            "first_name": "Eric",
            "middle_name": "",
            "last_name": "Boccio",
            "name_suffix": "",
            "institution": "UMass Chan Medical School – Baystate, Department of Emergency Medicine, Department of Healthcare Delivery & Population Sciences, Springfield, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Fiore",
            "middle_name": "",
            "last_name": "Mastroianni",
            "name_suffix": "",
            "institution": "New York University Long Island School of Medicine, Department of Medicine, Mineola, New York",
            "department": ""
        },
        {
            "first_name": "Todd",
            "middle_name": "",
            "last_name": "Slesinger",
            "name_suffix": "",
            "institution": "Herbert Wertheim College of Medicine, Florida International University, Department of Emergency Medicine, Miami, Florida",
            "department": ""
        }
    ],
    "date_submitted": "2023-06-26T03:07:35.032000Z",
    "date_accepted": "2023-06-26T03:10:23.307000Z",
    "date_published": "2023-08-14T16:00:00Z",
    "render_galley": null,
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            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1461/galley/1133/download/"
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    ]
}