Silva, Filipa and Brandão, Mariana and Esteves, Afonso (2016) A Rare Presentation of Leptospirosis. European Journal of Case Reports in Internal Medicine, 3 (6). pp. 1-3. ISSN 2284-2594
|
Text
447-2969-1-PB.pdf - Published Version Download (261kB) | Preview |
Abstract
Leptospirosis has a wide spectrum of clinical manifestations. Acute renal failure, an important complication, generally involves interstitial and tubular damage. We describe the case of a 42-year-old man who was admitted with fever, back pain and periorbital oedema. He had hypertension, thrombocytopenia, acute renal failure, hypoalbuminaemia, hypertriglyceridaemia and proteinuria >4.00 g/l. The renal biopsy showed mesangioproliferative glomerulonephritis. Due to the epidemiological context and clinical picture, ceftriaxone was started with rapid clinical improvement. Blood PCR for leptospira came back positive. The presentation of leptospirosis as nephrotic syndrome is rare and this diagnosis should be considered before performing a renal biopsy.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | leptospirosis; acute renal failure; nephrotic syndrome |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 13 Oct 2016 15:03 |
| Last Modified: | 13 Oct 2016 15:03 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/15201 |
Actions (login required)
 |
View Item |
