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[Systemic leptospirosis as a cause of multiple organ failure. Report of a case]
R Garrido1, L Castillo, G Hernández
1Departamento de Anestesiología, Hospital Clínico, P Universidad Católica, Santiago de Chile.
Abstract:
Leptospirosis is a world-spread zoonosis that is incidentally acquired by humans. It causes a diphasic febrile illness in which the Weil syndrome is its severest form, with renal, hepatic, clotting and central nervous system involvement. We report a 73 years old male, that was admitted to an intensive care unit with multiple organ failure due to leptospirosis. The clinical picture initially resembled a sepsis due to biliary tract obstruction and was operated, not finding a biliary tract obstruction. Considering the history of a fall to sewed waters, leptospirosis was suspected and treatment with penicillin was started, obtaining a full recovery of the patient.
Insights
A severe case of leptospirosis in a 73-year-old man led to multiple organ failure. Prompt penicillin treatment following suspicion of exposure to contaminated water resulted in a full recovery.
Area of Science:
- Infectious Diseases
- Nephrology
- Hepatology
Background:
- Leptospirosis is a global zoonotic disease with potential for severe complications.
- Weil syndrome, the most severe form, involves multiple organ systems including kidneys, liver, and central nervous system.
- Early diagnosis and treatment are crucial for patient outcomes.