46 year old , male resident of Devarkonda occupation : driver
Came for regular dialysis
During dialysis , he developed cough with hemoptysis ( 200ml ) saturations: 60spo2, got intubated.
Past h/o : patient was apparently normal 8 months back, then he developed back pain , burning micturition, loss of appetite , decrease urine output.
Back pain which was insidious on onset , gradually progressive no reliving and aggrevating factors for which he went to a near by RMP , pain subsided.
After 2 months he developed sudden SOB, went to devarkonda hospital , For which they said he has kidney problem, had to go for dialysis.
Later, he came to Kamineni Narketpalli
Underwent dialysis , during dialysis he had COUGH, SOB, FEVER.
Totally 10 dialysis done till last month.
During the stay in hospital, he had one episode of seizures ( GTCS type) not a k/c/o seizures
On tab: LEVIPIL.
Later he was discharged , he was sent to Hyderabad for FISTULA .
On the way , going to Hyderabad attenders observed , he was unable to talk and weakness of both UL and LL
He was got to Kamineni back , high grade fever & was in altered sensorium
? Uremic encephalopathy.
? Catheter induced infection.
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