[Weil's disease: a case report of acquired leptospirosis in Switzerland].
Leptospirosis is a rare disease in Switzerland. However its incidence is probably underestimated, due to its broad spectrum of presentations, including subclinical benign forms and the ictero-hemorragic form of the Weil's syndrome, whose mortality is high. We describe here a case of Weil's syndrome acquired in Switzerland with a favourable outcome under antibiotherapy. Even in the absence of any travel, the association of an acute renal insufficiency and jaundice with only moderate hepatic cytolysis should lead to the suspicion of leptospirosis. Clinical and epidemiological aspects of the disease are discussed in the article.
Pantet
Olivier
O
Département de médecine inteme, CHUV, Lausanne.
Bonny
Olivier
O
Marchetti
Oscar
O
Prella
Maura
M
D000368:Aged; D000372:Agglutination Tests / Q000379:methods; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D007921:Leptospira interrogans; D008297:Male; D013557:Switzerland; D014895:Weil Disease / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone