Laboratory confirmation of leptospirosis
DOI:
https://doi.org/10.51481/amc.v50i1.354Keywords:
leptospira, Leptospirosis , serology, diagnostic confirmation, Weil disease, fever of unknown origin, Dengue, Dengue hemorrhagic feverAbstract
A case of a 15 year old young man is presented, who consulted at a private hospital for acute fever, initially of unknown origin, associated with mild elevation of transaminases and other unspecific alterations of laboratory tests. He was referred for observation to a Hospital, where he was treated as a case of classic dengue fever. After his discharge his case was re-taken by a private practitioner, his diagnosis of leptospirosis was confirmed by the laboratory of the National Leptospirosis Referal Center in the INCIENSA, and he was properly treated with antibiotics until complete resolution of his episode. This article emphasizes the importance of a high level of suspicion, a precise and thorough clinical history, as well as a meticulous physical examination, followed by laboratory evidence, in order to diagnose and treat this illness in a proper way.
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Stefos A, Georgiadou SP, Gioti C, Loukopoulos A, Ioannou M, Pournaras S, et al. Leptospirosis and pancytopenia: two case reports and review of the literature. J Infect. 2005; 51: 277-80.
Erdinc FS, Koruk ST, Hatipoglu CA, Kinikli S, Demiroz AP. Three cases of anicteric leptospirosis from Turkey: Mild to severe complications. J Infect. 2006; 52:45-48.
Farrar We. Leptospira species (leptospirosis). In Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases. 4th ed. New York: Churchill Livingstone; 1995. p2137-41.
Feigin RD, Anderson DC. Human leptospirosis. Crit Rev Clin Lab Sci. 1975; 5:413-67.
Flannery B, Pereira M, Freitas L, Carvalho C, Góes L, De Saboia G, et al. Referal pattern of leptospirosis cases during a large urban epidemic of dengue. Am J Trop Med Hyg. 2001; 65:657-63.
Bruce M, Sanders E, Leake J, Zaidel O, Bragg S, Aye T, et al. Leptospirosis among patients presenting with dengue-like illness in Puerto Rico. Acta Trop. 2005; 96:36-46.
Homem V, Heinemann M, Moraes Z, Vasconcellos S, Ferreira F, Ferreira N. Estudo epidemiológico da leptospirose bovina e humana na Amazônia oriental brasileira. Rev Soc Bras Med Trop. 2001; 34:173-80.
Vado I, Cardenas M, Jiménez B, Alzina A, Laviada H, Suarez V, et al. Clinical-epidemiological study of leptospirosis in humans and reservoirs in Yucatán, Mexico. Rev Inst Med Trop S Paulo. 2002; 44:335-40
Katz A, Ansdell V, Effler P, Middleton C, Sasaki D. Leptospirosis in Hawaii, 1974-1998: epidemiologic analysis of 353 laboratoryconfirmed cases. Am J Trop Med Hyg. 2002; 66:61-70.
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