title: The importance of "His" story.
abstract: A 73-year-old previously healthy man presented with a 3-day history of rigours, abdominal pain, diarrhoea, haemoptysis and myalgia. He had not been abroad recently, but reported being a farmer and having had a recent rat infestation. Laboratory investigations revealed acute kidney failure, deranged liver function tests, raised C reactive protein and a chest CT revealed bilateral ground-glass opacities. This presentation was consistent with icteric leptospirosis which was confirmed by serological testing. Following haemofiltration and the administration of antibiotics the patient made an excellent recovery from his leptospirosis.
authors.affiliation: NHS, Norfolk and Norwich University Hospital, Norwich, UK.
authors.forename: Leyla
authors.initials: L
authors.lastname: Swafe
authors.affiliation: James Paget University Hospital, Great Yarmouth, UK.
authors.forename: Dhiraj
authors.initials: D
authors.lastname: Ail
authors.affiliation: James Paget University Hospital, Great Yarmouth, UK.
authors.forename: Damodar
authors.initials: D
authors.lastname: Makkuni
mesh_terms: D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004197:Disease Reservoirs / Q000382:microbiology; D006801:Humans; D007922:Leptospirosis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D008297:Male; D008487:Medical History Taking; D051381:Rats / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents