Postpartum Haemolytic Uremic Syndrome (PHUS) with Posterior Reversible Encephalopathy Syndrome (PRES) Complicating Pregnancy: A Rare Case Report
Published: April 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/40900.12748
Avni Bhatia, Aditya Bhagwat, Sourya Acharya, Amol Bhawane, Neema Acharya
1. Student, Department of Medicine, DMIMS/JNMC, Wardha, Maharashtra, India.
2. Resident, Department of Medicine, DMIMS/JNMC, Wardha, Maharashtra, India.
3. Professor, Department of Medicine, DMIMS/JNMC, Wardha, Maharashtra, India.
4. Assistant Professor, Department of Medicine, DMIMS/JNMC, Wardha, Maharashtra, India.
5. Professor, Department of Obstetrics and Gynaecology, DMIMS/JNMC, Wardha, Maharashtra, India.
Correspondence
Dr. Sourya Acharya,
Sawangi (Meghe), Wardha-442004, Maharashtra, India.
E-mail: souryaacharya74@gmail.com
Haemolytic Uremic Syndrome (HUS) and Posterior Reversible Encephalopathy Syndrome (PRES) are two diverse conditions that may have common triggering pathways. Postpartum HUS is a known phenomenon that complicates pregnancy with eclampsia and haemolysis, elevated liver enzymes and low platelet count (HELLP syndrome). Treatment is usually by plasmapheresis and heamodialysis. PRES, though rare may complicate pregnancy with eclampsia. We present a case of a 24-year-old primigravida who developed postpartum HUS and PRES simultaneously making it a rarest combination.
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