Case of fulminant leptospirosis in a renal transplant patient

被引：6

作者：

Gerasymchuk, L. ^{[1
]}

Swami, A. ^{[1
]}

Carpenter, C. F. ^{[1
]}

Samarapungavan, D. ^{[2
]}

Batke, M. ^{[3
]}

Kanhere, R. ^{[4
]}

Robinson-Dunn, B. ^{[5
]}

Wilson, J. D. ^{[4
]}

Szela, J. ^{[1
]}

机构：

[1] William Beaumont Hosp, Dept Med, Div Infect Dis, Royal Oak, MI 48073 USA

[2] William Beaumont Hosp, Dept Med, Div Nephrol, Royal Oak, MI 48073 USA

[3] William Beaumont Hosp, Dept Med, Div Gastroenterol, Royal Oak, MI 48073 USA

[4] William Beaumont Hosp, Dept Pathol, Div Clin Pathol, Royal Oak, MI 48073 USA

[5] William Beaumont Hosp, Dept Pathol, Div Clin Microbiol, Royal Oak, MI 48073 USA

来源：

TRANSPLANT INFECTIOUS DISEASE | 2009年 / 11卷 / 05期

关键词：

leptospirosis; spirochete; renal transplant; immunosuppression; hepatic failure; renal failure; zoonosis; CHOLECYSTITIS; HEMORRHAGE; FAILURE;

D O I：

10.1111/j.1399-3062.2009.00415.x

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

P>We present a case of fulminant leptospirosis that was acquired in the suburban area by a 48-year-old male renal transplant recipient. He developed acute renal and hepatic failure with profound jaundice. Spirochetes were identified on liver biopsy. Weil's disease was suspected, and the diagnosis was further supported by a positive serum Leptospira interrogans icterohaemorrhagiae antibody titer. Unfortunately, he suffered from recurrent lower gastrointestinal bleeding, had a prolonged hospital course, and eventually succumbed to overwhelming sepsis. This case is the third report to our knowledge of leptospirosis in a renal transplant recipient in the English literature.

引用

页码：454 / 457

页数：4

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