A Rare Presentation of Leptospirosis

Abstract

Leptospirosis has a wide spectrum of clinical manifestations. Acute renal failure, an important complication, generally involves interstitial and tubular damage. We describe the case of a 42-year-old man who was admitted with fever, back pain and periorbital oedema. He had hypertension, thrombocytopenia, acute renal failure, hypoalbuminaemia, hypertriglyceridaemia and proteinuria >4

Atypical Renal Presentation in Severe Leptospirosis

“…The treatment of Weil disease is not standardized. Typically, improvement in kidney function usually can be achieved within several days of antimicrobial and dialysis treatment 3, 4. However, in our case, the time interval between the onset of initial symptoms (fever, fatigue, myalgia) and the hospital admission exceeded 3 weeks, with persistence of symptoms despite antibiotics.…”