title: Ictero-haemorraghic leptospirosis with pulmonary involvement and acute renal failure: case report.
abstract: Leptospirosis is a spirochetal zoonosis with a worldwide distribution affecting both animals and humans. These are infected only occasionally by direct contact with infected animals or through contaminated water and soil. Generally, this disease is commonly found in tropical regions. Infected patients usually present with non-specific features. In fact, the clinical manifestations of leptospirosis are variable, ranging from occult infection to Weil's disease with fatal complications. Often the disease remains underdiagnosed due to the broad spectrum of signs and symptoms. Here we are reporting a case of a woman with an ictero-haemorraghic leptospirosis complicated by acute renal failure and pulmonary involvement that received intensive care unit support including intubation and ventilation and promptly resolved with appropriate therapy.
authors.affiliation: Unit of Gastroenterology and Digestive Endoscopy, Sandro Pertini Hospital, Rome, Italy. maddyzip@yahoo.it
authors.forename: M
authors.initials: M
authors.lastname: Zippi
authors.forename: M A
authors.initials: MA
authors.lastname: Agus
authors.forename: A
authors.initials: A
authors.lastname: Solinas
authors.forename: S
authors.initials: S
authors.lastname: Fiorani
authors.forename: S
authors.initials: S
authors.lastname: Scafetti
mesh_terms: D058186:Acute Kidney Injury / Q000382:microbiology*; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000382:microbiology*; D008875:Middle Aged; D014895:Weil Disease / Q000150:complications*