Severe leptospirosis with unusual manifestation.
We report a case of an 8-year-old aborigine boy referred to our hospital for respiratory insufficiency with skin eruptions over the trunk and limbs. The skin condition was diagnosed as acquired ichthyosis. He also had a non-bleeding form of disseminated intravascular coagulopathy. Radiograph of the lungs showed bilateral perihilar opacities with bilateral pleural effusion. The diagnosis of leptospirosis was confirmed by a 4-fold rise in microagglutinating titre and polymerase chain reaction assay.
Othman
Norlijah
N
Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia. nor@medic.upm.edu.my
Intan
H I
HI
Yip
C W
CW
Alias
M
M
Amran
F
F
D000372:Agglutination Tests; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D007922:Leptospirosis / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D010406:Penicillins / Q000627:therapeutic use; D016133:Polymerase Chain Reaction
D010406:Penicillins