1887

Abstract

An unusual case of leptospirosis is described in a 19-month-old male child presenting with meningitis and acute renal failure without jaundice. Some aspects concerning the pathogenesis and treatment of this potentially life-threatening disease are also discussed. Leptospirosis was diagnosed on the basis of history and serological tests.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.46486-0
2006-06-01
2019-10-16
Loading full text...

Full text loading...

/deliver/fulltext/jmm/55/6/795.html?itemId=/content/journal/jmm/10.1099/jmm.0.46486-0&mimeType=html&fmt=ahah

References

  1. Feigin, R. D. & Anderson, D. C. ( 1992; ). Leptospirosis. In Textbook of Pediatric Infectious Diseases, 3rd edn, pp. 1167–1180. Edited by R. D. Feigin & J. D. Cherry. Philadelphia, PA: W. B. Saunders.
  2. Karande, S., Patil, S., Kulkarni, M., Joshi, A. & Bharadwaj, R. ( 2005; ). Acute aseptic meningitis as the only presenting feature of leptospirosis. Pediatr Infect Dis J 24, 390–391.[CrossRef]
    [Google Scholar]
  3. Katz, A. R., Ansdell, V. E., Effler, P. V., Middleton, C. R. & Sasaki, D. M. ( 2001; ). Assessment of the clinical presentation and treatment of 353 cases of laboratory-confirmed leptospirosis in Hawaii, 1974–1998. Clin Infect Dis 33, 1834–1841.[CrossRef]
    [Google Scholar]
  4. Ko, A. I., Galvao Reis, M., Ribeiro Dourado, C. M., Johnson, W. D., Jr & Riley, L. W. ( 1999; ). Urban epidemic of severe leptospirosis in Brazil. Salvador Leptospirosis Study Group. Lancet 354, 820–825.[CrossRef]
    [Google Scholar]
  5. Magaldi, A. J., Yasuda, P. N., Kudo, L. H., Seguro, A. C. & Rocha, A. S. ( 1992; ). Renal involvement in leptospirosis: a pathophysiologic study. Nephron 62, 332–339.[CrossRef]
    [Google Scholar]
  6. Marotto, P. C., Marotto, M. S., Santos, D. L., Souza, T. N. & Seguro, A. C. ( 1997; ). Outcome of leptospirosis in children. Am J Trop Med Hyg 56, 307–310.
    [Google Scholar]
  7. Marotto, P. C. F., Nascimento, C. M. R., Eluf-Neto, J., Marotto, M. S., Andrade, L., Sztajnbok, J. & Seguro, A. C. ( 1999; ). Acute lung injury in leptospirosis: clinical and laboratory features, outcome, and factors associated with mortality. Clin Infect Dis 29, 1561–1563.[CrossRef]
    [Google Scholar]
  8. Panaphut, T., Domrongkitchaiporn, S., Vibhagool, A., Thinkamrop, B. & Susaengrat, W. ( 2003; ). Ceftriaxone compared with sodium penicillin G for treatment of severe leptospirosis. Clin Infect Dis 36, 1507–1513.[CrossRef]
    [Google Scholar]
  9. Seguro, A. C., Lomar, A. V. & Rocha, A. S. ( 1990; ). Acute renal failure of leptospirosis: nonoliguric and hypokalemic forms. Nephron 55, 146–151.[CrossRef]
    [Google Scholar]
  10. Verma, B., Daga, S. R. & Sawant, D. ( 2003; ). Leptospirosis in children. Indian Pediatr 40, 1081–1083.
    [Google Scholar]
  11. Watt, G., Padre, L. P., Tuazon, M. L., Calubaquib, C., Santiago, E., Ranoa, C. P. & Laughlin, L. W. ( 1988; ). Placebo-controlled trial of intravenous penicillin for severe and late leptospirosis. Lancet i, 433–435.
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.46486-0
Loading
/content/journal/jmm/10.1099/jmm.0.46486-0
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error