Turkish J Pediatr
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Review Case Reports
Posterior reversible encephalopathy syndrome due to pulse methylprednisolone therapy in a child.
Posterior reversible leukoencephalopathy syndrome (PRES) is a recently described disorder with typical radiological findings of bilateral grey and white matter abnormalities in the posterior regions of the cerebral hemispheres. It has been described in children in association with some medications, renal disease, autoimmune disease, transplantation, and sepsis. In this report, we discuss an eight-year-old boy with PRES during pulse methylprednisolone therapy. In conclusion, PRES is a neurological complication of pulse methylprednisolone therapy, which responds favorably to prompt therapy withdrawal and blood pressure control.
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Case Reports
A case of glandular tularemia presenting with prolonged fever and mesenteric lymphadenopathy.
Tularemia is a zoonotic disease caused by Francisella tularensis, a gramnegative coccobacillus that is transmitted to humans by direct contact with or ingestion of infected animal tissues, through the bite of infected arthropods, by consumption of contaminated food or water, or from inhalation of aerosolized bacteria. Presented herein is a case of a four-year-old girl who was diagnosed with glandular tularemia after presenting with prolonged fever and mesenteric lymphadenopathy. A history of contact with a rabbit was a valuable clue for the diagnosis.