{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:25Z","timestamp":1756425805556,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,11,5]]},"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>We report a case of cerebral vasculitis in a 31-year-old woman who presented with chronic kidney disease stage 5, labile hypertension and severe headaches. The diagnosis of cerebral vasculitis made on magnetic resonance angiography (MRA) and late diagnosis of polyarteritis nodosa were made by conventional CT angiography. Immunosuppression was complicated by recurrent septicaemia due to <jats:italic>Elizabethkingia meningoseptica<\/jats:italic>. Treatment of the vasculitis resulted in marked improvement of MRA appearances, headaches and anxiety and stabilisation of blood pressure. The septicaemia required parenteral quinolone treatment and oral cotrimoxazole.<\/jats:p>","DOI":"10.1136\/bcr-2019-231478","type":"journal-article","created":{"date-parts":[[2019,11,28]],"date-time":"2019-11-28T10:45:39Z","timestamp":1574937939000},"page":"e231478","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Successful treatments of polyarteritis nodosa cerebral vasculitis and recurrent <i>E<\/i>\n                  <i>lizabethkingia<\/i>\n                  <i>meningoseptica<\/i> septicaemia in a dialysis patient"],"prefix":"10.1136","volume":"12","author":[{"given":"Nestor","family":"Velasco","sequence":"first","affiliation":[{"name":"Renal Medicine, Treetop Hospital, Hulhumale, Maldives"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sital","family":"Karki","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine, Treetop Hospital, Hulhumale, Maldives"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar Rafael","family":"Tenreiro","sequence":"additional","affiliation":[{"name":"Renal Medicine, Treetop Hospital, Hulhumale, Maldives"},{"name":"Department of Radiology, Treetop Hospital, Hulhumale, Republic of Maldives"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,11,28]]},"reference":[{"key":"2025082801254181000_12.11.e231478.1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-5229.120323"},{"key":"2025082801254181000_12.11.e231478.2","doi-asserted-by":"crossref","first-page":"211","DOI":"10.4103\/2278-330X.119912","article-title":"Elizabethkingia meningoseptica bacteremia in immunocompromised hosts: the first case series from India","volume":"2","author":"Ghafur","year":"2013","journal-title":"South Asian J Cancer"},{"key":"2025082801254181000_12.11.e231478.3","doi-asserted-by":"crossref","first-page":"104","DOI":"10.5005\/jp-journals-10071-23127","article-title":"Elizabethkingia Meningoseptica: An Emerging Nosocomial Pathogen Causing Septicemia in Critically Ill Patients","volume":"23","author":"Sahu","year":"2019","journal-title":"Indian J Crit Care Med"},{"key":"2025082801254181000_12.11.e231478.4","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/S0950-3579(97)80043-X","article-title":"1 classification and epidemiology of the vasculitides","volume":"11","author":"Watts","year":"1997","journal-title":"Bailli\u00e8re's Clinical Rheumatology"},{"key":"2025082801254181000_12.11.e231478.5","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1007\/s40620-016-0303-8","article-title":"Kidney involvement in medium- and large-vessel vasculitis","volume":"29","author":"Maritati","year":"2016","journal-title":"J Nephrol"},{"key":"2025082801254181000_12.11.e231478.6","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1016\/j.nephro.2016.03.007","article-title":"[Beware, polyarteritis nodosa still exists in nephrology!]","volume":"12","author":"Perrin","year":"2016","journal-title":"Nephrol Ther"},{"key":"2025082801254181000_12.11.e231478.7","doi-asserted-by":"crossref","unstructured":"Flaherty J , Bradley EL . 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