Interesting Case of Leptospirosis Presenting as Jaundice and Acute Renal Failure in North East Tennessee

Year 2018, Volume: 08 Issue: 02, 80 - 82, 20.06.2018

İmran Khan Muhammad Khalid Jonathan Moorman Lamis Ibrahim Dima Youssef

https://doi.org/10.5799/jmid.434637

Abstract

Leptospirosis
is a worldwide zoonotic infection common in the tropics especially during the
hurricanes and floods seasons. Most common clinical presentation is rash,
fatigue, weakness, malaise, fever, headache just like viral prodromal symptoms,
but clinical presentation of jaundice liver and kidney dysfunction in severe
cases can result in multiorgan failure. Diagnosis need serology and cultures
which are usually positive early in course of the disease but require special
media to grow i.e. Fletcher’s media. Treatment is usually with Penicillin or
doxycycline. We present a case of leptospirosis presenting with jaundice along
with acute liver and renal involvement in the form of Weil’s disease which is
one of the severe form of presentation. Diagnosis was made by positive
leptospirosis serology. Patient was treated with oral doxycycline. Patient had
good response to antibiotics with resolution of symptoms on follow up
outpatient. J Microbiol Infect Dis 2018; 8(2):80-82.

Keywords

Leptospirosis, renal Failure, jaundice, Weil’s disease

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