[Systemic leptospirosis as a cause of multiple organ failure. Report of a case].
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.
Garrido
R
R
Departamento de Anestesiología, Hospital Clínico, P Universidad Católica, Santiago de Chile.
Castillo
L
L
Hernández
G
G
Abarca
J
J
Montes
J M
JM
Monsalve
V
V
Espinoza
R
R
Valenzuela
S
S
Pérez
G
G
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
D010406:Penicillins