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Case Reports in Immunology
Volume 2013 (2013), Article ID 523865, 5 pages
http://dx.doi.org/10.1155/2013/523865
Case Report

Rare Cause of Seizures, Renal Failure, and Gangrene in an 83-Year-Old Diabetic Male

Indira Gandhi Medical College, Kadhiramam, Pondicherry 605009, India

Received 12 May 2013; Accepted 11 June 2013

Academic Editors: A. M. Mansour and H. Narimatsu

Copyright © 2013 Stalin Viswanathan and Kandan Balamurugesan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report an 83-year-old diabetic male who presented with acute-onset renal failure, seizures, psychosis, pneumonia, and right foot gangrene. Investigations revealed thrombocytopenia, CSF lymphocytosis, ANA and dsDNA positivity, hypocomplementemia, and pneumonitis following which he was treated with pulse methylprednisolone. He was treated for Pseudomonas-related ventilator-associated pneumonia, candiduria, and E. coli-related bedsore infection prior to discharge. He was discharged at request and died 17 days later due to a respiratory infection.