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J Pediatr Intensive Care 2019; 08(02): 092-095
DOI: 10.1055/s-0038-1668603
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Posterior Reversible Encephalopathy Syndrome Complicating Ruptured Appendicitis and Abscess Drainage in a Previously Healthy Pediatric Patient

Taylor Saley
1   Department of Pediatrics, University of Oklahoma School of Community Medicine, Tulsa, Oklahoma, United States
,
Alexander Barton
2   UGTA, Department of Biology, The University of Oklahoma, Norman, Oklahoma, United States
,
Shawn Berry Sood
3   Division of Pediatric Critical Care, Vanderbilt University School of Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, United States
,
Roopa Thukaram
4   Division of Pediatric Intensive Care, The Children's Hospital at Saint Francis, 6161 South Yale Avenue, Tulsa, Oklahoma, United States
› Author Affiliations
Further Information

Publication History

10 June 2018

17 July 2018

Publication Date:
22 August 2018 (online)

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Abstract

In this study, we present the youngest reported case of posterior reversible encephalopathy syndrome (PRES) in the United States, which developed following perforated appendicitis with subsequent peritonitis and intra-abdominal abscess formation. Additionally, we discuss potential physiological factors contributing to her acute neurological deterioration and resultant cerebral vasogenic edema.

Keywords

autoregulation - endothelium - seizures - sepsis - PRES
 

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