A catastrophic leptospirosis case with multisystemic involvement

Hilmi Erdem Sümbül; Bilge Sümbül Gültepe; Mahmut Büyükşimşek; Merve Saraçoğlu Sümbül; Emre Karakoç

doi:10.28982/josam.397719

Authors

Hilmi Erdem Sümbül Health Science University , Internal Medicine Department
Bilge Sümbül Gültepe Bezmialem University , Department of Microbiology
Mahmut Büyükşimşek Cukurova University , Department of Oncology
Merve Saraçoğlu Sümbül Cukurova University, Department of Family Medicine
Emre Karakoç Cukurova University , Deparment Of Internal Medicine

DOI:

https://doi.org/10.28982/josam.397719

Keywords:

Leptospirosis, Acute Hepatitis, Plasmapheresis, Hemodialysis

Abstract

Leptospirosis is a systemic infection with varying degree of clinical manifestations from mild to fatal disease. Clinical suspicion is very important to identify leptospirosis. A field worker patient was admitted to our clinic with emerging acute hepatitis and renal failure accompanying conjunctivitis, autoimmune hemolytic anemia, thrombocytopenia, pneumonia and epididymorchitis. During the follow-up the patient was transmitted to intensive care unit, and hemodialysis with plasma exchange was performed. Usually mild disease is treated in outpatient clinics because severe organ failure is experienced rarely. Alternative treatments such as plasma exchange and corticosteroids may also provide benefits especially in patients who were unresponsive to classical therapies.

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