A RARE CASE OF UREMIC ENCEPHALOPATHY WITH VERY HIGH LIVER ENZYMES IN A KNOWN CASE OF T2DM & HYPERTENSION- CASE REPORT

Uremic encephalopathy (UE) is dened as cerebral dysfunction due to the accumulation of toxins resulting from acute or chronic renal failure. The clinical presentation can vary from fatigue, anorexia to restlessness, drowsiness to delirium, seizures and coma. A Male patient in his 70s, a Known case of CKD, HTN & T2DM presented with Sudden onset shortness of breath for last one day. The patient was unconscious. At admission RBS was High. Blood Urea, Sr. Creatinine & Uric acid were signicantly High. Liver Enzymes were very much Elevated. Sr. Potassium, Bilirubin were elevated. The case was diagnosed as CKD with Uremic Encephalopathy with CCF in a known patient of T2DM & HTN. Severe complications of UE can lead to death. Early recognition of neurological manifestation is critical to prevent morbidity or mortality. Cases of UE with this much High ALT, AST levels in thousands gure is not usually seen. coexistence of Congestive Cardiac Failure in this patient causing Ischemia may have caused this condition.