Journal of Medical and Surgical Intensive Care Medicine 2018 , Vol 9, Issue 2
An Adverse Event Associated with Antifungal Therapy: Presentation as Posterior Reversible Encephalopathy Syndrome
Ayşın Kısabay Ak 1 ,Serpil Erbüyün 2 ,Deniz Heppekcan 3 ,Melike Batum 1 ,Recep Boyacı 4 ,Hatice Mavioğlu 1 ,Demet Aydın Tok 3
1Department of Neurology, Celal Bayar University School of Medicine, Hafsa Sultan Hospital, Manisa, Turkey
2Clinic of Anesthesiology and Reanimation, Manisa State Hospital, Manisa, Turkey
3Department of Anesthesiology and Reanimation, Celal Bayar University School of Medicine, Hafsa Sultan Hospital, Manisa, Turkey
4Department of Anesthesiology and Reanimation, Celal Bayar University School of Medicine, Hafsa Sultan Hospital, Manisa, Turkey
DOI : 10.5152/dcbybd.2018.1700 Posterior reversible encephalopathy syndrome (PRES) is a diagnosis characterized by headache, changes in consciousness, epileptic seizures, visual symptoms (decreased visual acuity and blurred vision), vasospasm, and perfusion abnormalities in the posterior systemic vessels of the brain. The most common clinical findings of PRES include headache, epileptic seizure, altered consciousness, motor deficits, and loss of vision. In the patient who presented with symptoms similar to those in PRES after the use of anidulafungin and had a history of trauma, other causes of PRES (like carotid and/or vertebral artery dissection, intra-abdominal trauma, and head trauma etc.) were excluded. In our case, visual disturbance was assessed as being secondary to central nervous system pathology. There are no similar cases in the literature that presented with clinical features of PRES and normal imaging findings. The primary aim of this study was to draw attention to the fact that anidulafungin may cause symptoms similar to those in PRES. Keywords : Posterior reversible encephalopathy syndrome headache, epileptic seizure, cortical blindness, side effect