title: [Systemic leptospirosis as a cause of multiple organ failure. Report of a case].
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.
authors.affiliation: Departamento de Anestesiología, Hospital Clínico, P Universidad Católica, Santiago de Chile.
authors.forename: R
authors.initials: R
authors.lastname: Garrido
authors.forename: L
authors.initials: L
authors.lastname: Castillo
authors.forename: G
authors.initials: G
authors.lastname: Hernández
authors.forename: J
authors.initials: J
authors.lastname: Abarca
authors.forename: J M
authors.initials: JM
authors.lastname: Montes
authors.forename: V
authors.initials: V
authors.lastname: Monsalve
authors.forename: R
authors.initials: R
authors.lastname: Espinoza
authors.forename: S
authors.initials: S
authors.lastname: Valenzuela
authors.forename: G
authors.initials: G
authors.lastname: Pérez
mesh_terms: D015746:Abdominal Pain; D000368:Aged; D002779:Cholestasis / Q000601:surgery; D003422:Critical Care; D003951:Diagnostic Errors; D017583:Hemodiafiltration; D006801:Humans; D007922:Leptospirosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010406:Penicillins / Q000627:therapeutic use; D011379:Prognosis; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency; D014057:Tomography, X-Ray Computed
chemical_list: D010406:Penicillins