title: Leptospirosis in New Orleans.
abstract: Leptospirosis is an unusual but reemerging zoonotic infectious disease in the United States where the diagnosis may not be suspected when patients initially present. The case report of a patient from New Orleans who presented with jaundice, hypotension and acute kidney injury is presented. In this patient, a broad differential diagnosis was considered on presentation and serologic testing for leptospirosis eventually confirmed the diagnosis. A review of the clinical manifestations, diagnostic studies and treatment are discussed so that leptospirosis will be considered more carefully in the initial evaluation and management of similar patients.
authors.affiliation: Department of Medicine, Section of Nephrology and Hypertension, Tulane University School of Medicine, New Orleans, Louisiana.
authors.forename: Herman L
authors.initials: HL
authors.lastname: Toliver
authors.forename: N Kevin
authors.initials: NK
authors.lastname: Krane
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D007922:Leptospirosis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D055820:New Orleans / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents