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Case Reports
. 2024 May 7;17(5):e256905.
doi: 10.1136/bcr-2023-256905.

Leptospirosis: a clinical and diagnostic challenge

Jessica Saliba  1 , Claire Vassallo  2 , Joseph Saliba  2 , Michael Pace Bardon  2
Affiliations
Case Reports

Leptospirosis: a clinical and diagnostic challenge

Jessica Saliba et al. BMJ Case Rep. .

Abstract

We present the case of a man in his early 50s who presented with a history of fever, malaise and jaundice. Initial investigations showed liver and renal dysfunction with no discernible cause for the septic process. On starting intravenous antibiotics, the patient developed a septic-shock-like reaction requiring transfer to intensive care. A diagnosis of leptospirosis was eventually established through an extensive and thorough history leading to a stepwise approach to investigations. Treatment targeting leptospirosis was delivered with noticeable clinical improvement.

Keywords: Acute renal failure; Infectious diseases; Liver disease; Medical management; Pneumonia (respiratory medicine).

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Conflict of interest statement

Competing interests: None declared.

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