{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T14:37:06Z","timestamp":1781534226524,"version":"3.54.5"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,26]]},"abstract":"<jats:p>Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterised by parieto-occipital vasogenic oedema seen on MRI. Infection and sepsis has been reported as a possible cause for this disorder.<\/jats:p>\n               <jats:p>We present a 19-year-old immunocompetent Caucasian man with known type 1 diabetes mellitus who presented to the emergency department with acute onset of bilateral visual loss, headaches and hypertension; he had been discharged 2 weeks ago for severe diabetic ketoacidosis and <jats:italic>Staphylococcus aureus<\/jats:italic> bacteraemia. Initial CT scan of the head was negative, but MRI showed findings suggestive of PRES. He was treated with nicardipine drip for strict blood pressure management and symptoms resolved within 4 days. PRES is a rare disease that has been increasingly reported as MRI becomes more commonplace. Usually associated with immunological disease, pre-eclampsia and cytotoxic therapies but an association with sepsis due to gram-positive bacteria.<\/jats:p>","DOI":"10.1136\/bcr-2018-225128","type":"journal-article","created":{"date-parts":[[2018,7,10]],"date-time":"2018-07-10T10:05:47Z","timestamp":1531217147000},"page":"bcr-2018-225128","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["A case of posterior reversible encephalopathy syndrome associated with sepsis"],"prefix":"10.1136","volume":"2018","author":[{"given":"Orlando","family":"Garner","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Texas Tech University Health Science Center at Permian Basin, Odessa, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Texas Tech University Health Science Center at Permian Basin, Odessa, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9645-9072","authenticated-orcid":false,"given":"Alfredo","family":"Iardino","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Texas Tech University Health Science Center at Permian Basin, Odessa, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,7,10]]},"reference":[{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.1","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2011-000010"},{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.2","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1007\/s00415-016-8377-8","article-title":"Posterior reversible encephalopathy syndrome","volume":"264","author":"Fischer","year":"2017","journal-title":"J Neurol"},{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)00111-8"},{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.4","first-page":"2179","article-title":"Posterior reversible encephalopathy syndrome in infection, sepsis, and shock","volume":"27","author":"Bartynski","year":"2006","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.5","doi-asserted-by":"publisher","DOI":"10.1001\/archneurol.2007.46"},{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.6","first-page":"1038","article-title":"Posterior reversible encephalopathy syndrome: prognostic utility of quantitative diffusion-weighted MR images","volume":"23","author":"Covarrubias","year":"2002","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2004.00750.x"},{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.8","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/j.medin.2012.03.005","article-title":"[Posterior reversible encephalopathy syndrome (pres) in sepsis]","volume":"36","author":"de Haro","year":"2012","journal-title":"Med Intensiva"},{"key":"2025082804462219000_2018.jul09_2.bcr-2018-225128.9","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2009.189647"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225128","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:46:28Z","timestamp":1756381588000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225128"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,10]]},"references-count":9,"alternative-id":["10.1136\/bcr-2018-225128"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225128","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,10]]}}}