title: [Weil's disease: a case report of acquired leptospirosis in Switzerland].
abstract: 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.
authors.affiliation: Département de médecine inteme, CHUV, Lausanne.
authors.forename: Olivier
authors.initials: O
authors.lastname: Pantet
authors.forename: Olivier
authors.initials: O
authors.lastname: Bonny
authors.forename: Oscar
authors.initials: O
authors.lastname: Marchetti
authors.forename: Maura
authors.initials: M
authors.lastname: Prella
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone