title: Severe leptospirosis with unusual manifestation.
abstract: 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.
authors.affiliation: Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia. nor@medic.upm.edu.my
authors.forename: Norlijah
authors.initials: N
authors.lastname: Othman
authors.forename: H I
authors.initials: HI
authors.lastname: Intan
authors.forename: C W
authors.initials: CW
authors.lastname: Yip
authors.forename: M
authors.initials: M
authors.lastname: Alias
authors.forename: F
authors.initials: F
authors.lastname: Amran
mesh_terms: 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
chemical_list: D010406:Penicillins