{
  "abstract": "Posterior reversible encephalopathy syndrome (PRES) is an under-recognised cause of seizures in children, often obscured by concurrent infections. We report a girl in her middle childhood with recurrent seizures following a week of fever and flood exposure. Initial suspicion was leptospira encephalitis, supported by positive serology. However, progressive hypertension and CT brain findings confirmed PRES secondary to leptospira-associated acute glomerulonephritis. She improved with antihypertensives, antiepileptics and antibiotics, and was discharged seizure-free. This case highlights the risk of anchoring bias and introduces the ‘3 P’s of PRES’ framework—Pressure, Pattern and Pictures—for earlier recognition and management.",
  "authors": [
    {
      "affiliations": [
        "Emergency Department, Sarawak General Hospital, Kuching, Malaysia"
      ],
      "name": "Bing Chan Shu"
    },
    {
      "affiliations": [
        "Emergency Department, Sarawak General Hospital, Kuching, Malaysia",
        "Emergency Department, Hospital University Sains Malaysia, Kota Bharu, Kelantan, Malaysia"
      ],
      "name": "Caisha Moses"
    }
  ],
  "title": "Posterior reversible encephalopathy syndrome in a child with leptospira-associated glomerulonephritis: the 3 P’S framework",
  "uid": "a55ddfe0-85d4-5bd9-9e8a-757f80d4c19b"
}