title: [Carrión's disease complicated with severe acute leptospirosis: a case report].
abstract: The case of an adult, 56 year old male is reported, from Sihuas (Ancash) who presented at Hospital Nacional Dos de Mayo with fever, jaundice and anemia. In three days of hospitalization, he developed severe anemia (Hb: 11.8 to 6.7 g / dL) and generalized myalgias associated with a sudden worsening jaundice correlated with elevated bilirubin (TB 3.2 to 19.6 mg / dL direct dominance) and general deterioration. Microbiological smear and culture were positive for Bartonella bacilliformis. Subsequent serology (microagglutination) was positive for Lesptospira serovar Pomona. The patient was given specific antibiotic therapy (ceftriaxone and ciprofloxacin), transfused two units of packed red blood cells, improved clinically and was discharged.
authors.affiliation: Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú
authors.forename: Anderson
authors.initials: A
authors.lastname: Huerta
authors.affiliation: Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú
authors.forename: Marcia
authors.initials: M
authors.lastname: Salas
authors.affiliation: Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú
authors.forename: Jorge
authors.initials: J
authors.lastname: Yarinsueca
authors.affiliation: Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Perú
authors.forename: Ciro
authors.initials: C
authors.lastname: Maguiña
mesh_terms: D000208:Acute Disease; D001474:Bartonella Infections / Q000150:complications*; D006801:Humans; D007922:Leptospirosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index