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

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.

 

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Daher EF, Silva GB Jr. Different patterns in a cohort of patients with severe leptospirosis (Weil syndrome): Effects of an educational program in an endemic area. Am Soc Trop Med Hyg. 2011;85(3):479-84. https://doi.org/10.4269/ajtmh.2011.11-0080 DOI: https://doi.org/10.4269/ajtmh.2011.11-0080

Victoriano AF, Smythe LD, Gloriani-Barzaga N. Leptospirosis in the Asia Pacific region. BMC Infect Dis. 2009;9:147. https://doi.org/10.1186/1471-2334-9-147 PMid:19732423 DOI: https://doi.org/10.1186/1471-2334-9-147

Ministry of Health of the Republic Indonesia. Technical Manual for Leptospirosis Control; 2017.

Slack AT, Symonds ML, Dohnt MF, Smythe LD. The epidemiology of leptospirosis and the emergence of Leptospira borgpetersenii serovar Arborea in Queensland, Australia, 1998–2004. Epidemiol Infect. 2006;134(6):1217-25. https://doi.org/10.1017/S0950268806006352 PMid:16690001 DOI: https://doi.org/10.1017/S0950268806006352

Forbes AE, Zochowski WJ, Dubrey SW, Sivaprakasam V. Leptospirosis and Weil’s disease in the UK. QJM. 2012;105(12):1151-62. https://doi.org/10.1093/qjmed/hcs145 PMid:22843698 DOI: https://doi.org/10.1093/qjmed/hcs145

Zein U. Leptospirosis dalam Buku Ajar Ilmu Penyakit Dalam. Jilid III, Hal: Interna Publishing; 2009. p. 2807-12.

Kobayashi Y. Human leptospirosis: Management and prognosis. Postgrad Med. 2005;51(3):201-4. PMid:16333193

Downloads

Published

2022-06-17

How to Cite

1.
Purwoko P, Permana SA, Wicaksono N. A Rare Case Report of Leptospirosis Infection with Jaundice and Acute Kidney Injury Symptoms into the Intensive Care Unit. Open Access Maced J Med Sci [Internet]. 2022 Jun. 17 [cited 2024 Apr. 23];10(C):196-8. Available from: https://oamjms.eu/index.php/mjms/article/view/9883

Issue

Section

Case Report in Internal Medicine

Categories