A case of Weil's disease complicated by liver disorder, acute renal failure and myocarditis that was treated by hemodialysis and plasma exchange.

Abstract

7) Ram P, et al : Unusual electrocardiographic abnormality in leptospirosis. Angiology 36: 477, 1985. 8) de Brito J, et al : Cardiovascular involvement in human and experimental leptospirosis: Pathologic findings and immunohistochemical detection of leptospiral antigen. Ann Trop Med Parasitol 81: 207, 1987.

Potential Benefit of Plasma Exchange in Treatment of Severe Icteric Leptospirosis Complicated by Acute Renal Failure

“…The role of plasmapheresis in the treatment of leptospirosis has not been defined, although it has anecdotally been used in patients with favorable clinical outcome (3,11,20). Our observations show that plasma exchange may indeed be a useful adjunctive therapy in patients with severe prolonged hyperbilirubinemia.…”