title: Acute Renal Failure in a Patient with both Leptospirosis and Dengue Fever.
abstract: The spectrum of tropical nephropathies includes Acute Renal Failure (ARF) or Acute Kidney Injury (AKI) due to infective agents that are endemic in the tropics which include Leptospira (LS) and Dengue Viruses (DV). The major histological feature is Acute Tubular Necrosis (ATN).(1, 2)We report the case of a patient who presented ARF with co-infection with both agents. The clinical manifestations were consistent with both diseases. A renal treatment was supportive and the outcome was positive.We conclude that co-infection with these two tropical agents was possible. It may have been overlooked when the diagnosis of one agent was confirmed, especially that aware of the possibility of co-infection, as the management may be different. Spontaneous full recovery in these circumstances is still possible with supportive treatment.
authors.forename: Ehab
authors.initials: E
authors.lastname: Mohammad
authors.forename: Nabil
authors.initials: N
authors.lastname: Mohsin
authors.forename: Saif
authors.initials: S
authors.lastname: Al-Abri
authors.forename: Idris
authors.initials: I
authors.lastname: Al-Abaidani
authors.forename: Amitabhj
authors.initials: A
authors.lastname: Jha
authors.forename: Pramod
authors.initials: P
authors.lastname: Camble
authors.forename: Mohammad
authors.initials: M
authors.lastname: Budruddin
authors.forename: Mohammad
authors.initials: M
authors.lastname: Khalil
authors.forename: Abbas
authors.initials: A
authors.lastname: Pakyarra
authors.forename: Sulaiman
authors.initials: S
authors.lastname: Al Busaidy