@article{Sümbül_Gültepe_Büyükşimşek_Sümbül_Karakoç_2018, title={A catastrophic leptospirosis case with multisystemic involvement}, volume={2}, url={https://jsurgmed.com/article/view/397719}, DOI={10.28982/josam.397719}, abstractNote={<p><p>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.<br /></p></p>}, number={2}, journal={Journal of Surgery and Medicine}, author={Sümbül, Hilmi Erdem and Gültepe, Bilge Sümbül and Büyükşimşek, Mahmut and Sümbül, Merve Saraçoğlu and Karakoç, Emre}, year={2018}, month={May}, pages={181–183} }