Posterior reversible encephalopathy syndrome posttransplantation: a case report of possible association with cerebrospinal fluid leak after epidural catheterization.

We have described a case of posterior reversible encephalopathy syndrome (PRES) that developed early in the course of a renal transplant recipient. The patient was on cyclosporine and also had a cerebrospinal fluid (CSF) leak due to migration of an epidural catheter. The possibilities of PRES being associated with administration of cyclosporine and development of a CSF leak are discussed.

Delayed Kounis syndrome and acute renal failure after wasp sting.

A fifty-seven year old gentleman developed hemolysis induced oliguric acute renal failure following multiple wasp stings. Patient was hemodynamically stable on dialytic support. Twelve days later, although the patient was recovering from renal failure, he developed sudden onset of tachyarrythmias and echocardiography demonstrated a Takotsubo type of cardiomyopathy.