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A 47-year-old man with a history of HCV-related hepatitis, bilateral kidney malformations with chronic renal failure in dialysis, and an attempt of kidney transplantation failed for rejection, developed rapidly worsening bitemporal headache without any preceding symptoms.
He was at home, and was able to drive to the hospital where he should have undergone a scheduled dialysis session. Soon after his arrival to the hospital, and just before starting haemodialysis in the nephrology department, he presented a hypertensive crisis (systolic blood pressure >200 mm Hg) associated with agitation, mental confusion and …
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.