Fever, pulmonary haemorrhage, and acute renal failure in a young girl.
Leptospirosis is rarely reported in children. It is easily treated with antibiotics but can be fatal if treatment is delayed. A 12-year-old girl was diagnosed with Weil syndrome, a severe form of leptospirosis, 10 days after returning from Mainland China. She presented with fever, hypotension, jaundice, and acute renal failure. She had used well water for bathing and swum in freshwater.
Cheng
F W T
FW
Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Leung
T F
TF
Lee
N
N
Yap
F
F
Hui
J
J
Fok
T F
TF
Ng
P C
PC
D058186:Acute Kidney Injury / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004791:Enzyme Inhibitors / Q000627:therapeutic use; D005260:Female; D005334:Fever / Q000382:microbiology; D006470:Hemorrhage / Q000382:microbiology; D006801:Humans; D008171:Lung Diseases / Q000382:microbiology; D009102:Multiple Organ Failure / Q000382:microbiology; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D000078142:Tazobactam; D014895:Weil Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D004791:Enzyme Inhibitors; D010397:Penicillanic Acid; D000078142:Tazobactam; D010878:Piperacillin