Leptospirosis with transient paraparesis and thrombocytopenia: A case report

被引:7
作者
Wang, Lih-shinn [1 ]
Wang, Chia-ching Jackie [5 ]
Huang, Shu-hua
Chao, Hueichen [2 ]
Lin, Sheng-huang [3 ]
Chang, Jwo-haur [4 ]
Ho, Yu-huai
机构
[1] Buddhist Tzu Chi Gen Hosp, Cent Off, Dept Infect Dis, Hualien 970, Taiwan
[2] Buddhist Tzu Chi Gen Hosp, Dept Microbiol, Hualien 970, Taiwan
[3] Buddhist Tzu Chi Gen Hosp, Dept Neurol, Hualien 970, Taiwan
[4] Buddhist Tzu Chi Univ, Sch Med, Hualien, Taiwan
[5] Miriam Hosp, Dept Med, Providence, RI 02906 USA
关键词
Neuroleptospirosis; Paraparesis; Polyneuropathy; Thrombocytopenia;
D O I
10.1016/j.jmii.2011.09.006
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Leptospirosis is the most widespread zoonosis in the world. We present an unusual case of leptospirosis in a 44-year-old man with severe thrombocytopenia and transient paraparesis. The diagnosis of leptospirosis was confirmed by blood nested polymerase chain reaction, sero-conversion of Leptospira IgM and the microscopic agglutination test. Nerve conduction studies were suggestive of early polyneuropathy involving the right peroneal nerve and bilateral sural nerves. Peripheral nerve palsy is a potential clinical feature of leptospirosis. Copyright (C) 2011, Taiwan Society of Microbiology. Published by Elsevier Taiwan LLC. All rights reserved.
引用
收藏
页码:75 / 78
页数:4
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