title: Leptospirosis complicated by severe aortic stenosis.
abstract: A previously well 62-year-old male from North Queensland presented with leptospirosis featuring fever, renal failure, hepatitis and pulmonary haemorrhage. Management was greatly complicated by severe and previously unrecognized aortic stenosis with a peak valve gradient of 125 mmHg. A successful outcome followed careful haemodynamic management and treatment of the infective illness with subsequent valve replacement.
authors.affiliation: Department of Anaesthesia and Intensive Care, Townsville General Hospital, Queensland.
authors.forename: C S
authors.initials: CS
authors.lastname: Butler
authors.forename: S A
authors.initials: SA
authors.lastname: Endara
mesh_terms: D001021:Aortic Valve; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D005334:Fever / Q000150:complications; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007922:Leptospirosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D011793:Queensland; D051437:Renal Insufficiency / Q000150:complications; D014463:Ultrasonography
chemical_list: D010406:Penicillins; D010400:Penicillin G