A Rare Case Report of Leptospirosis Infection with Jaundice and Acute Kidney Injury Symptoms into the Intensive Care Unit

Purwoko Purwoko; Septian Adi Permana; Nefrizal Wicaksono

doi:10.3889/oamjms.2022.9883

Authors

Purwoko Purwoko Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Sebelas Maret, Dr. Moewardi General Hospital, Surakarta, Indonesia
Septian Adi Permana Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Sebelas Maret, Dr. Moewardi General Hospital, Surakarta, Indonesia
Nefrizal Wicaksono Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Sebelas Maret, Dr. Moewardi General Hospital, Surakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9883

Keywords:

Leptospirosis, Weill’s disease, Joundice, Acute kidney injury

Abstract

ABSTRACT

INTRODUCTION: Leptospirosis, often known as Weill' disease, is a zoonotic disease caused by spiral-shaped bacteria of the Leptospira genus. This disease is spread by direct or indirect contact with infected animals' urine, such as rats.

CASE REPORT: The case was a 49-year-old man, came to Emergency Room DR. Moewardi Hospital Surakarta with symptoms of yellowing of the skin and eyes since 10 days before come to hospital. Patients who complain of fever, vomiting, urine had changed to a brownish yellow like tea and pain all over the body. The patient brought laboratory results of leukocytosis, increase in transaminases, increase in urea and creatinine with clinical symptoms Acute Kidney Injury (AKI) with BUN 122.3 mg/dL and serological examination of leptospira antibodies showed positive results.

CONCLUSION: This patient was treated in the Intensive Care Unit room with treatment in the form of cito hemodialysis and administration of the antibiotic ceftriaxone 2gram/12 hours. The patient went home after 5 days of treatment.

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