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Titolo:
Leptospirosis (Weil's syndrome) with renal failure, severe jaundice, disseminated haemorrhages and xanthopsia
Autore:
Fuchs, W; Wolber, T; Woss, E; Neyer, U; Drexel, H;
Indirizzi:
Landeskrankenhaus Feldkirch, Innere Med Abt, A-6807 Feldkirch, Austria Landeskrankenhaus Feldkirch Feldkirch Austria A-6807 Feldkirch, Austria
Titolo Testata:
SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT
fascicolo: 22, volume: 129, anno: 1999,
pagine: 847 - 850
SICI:
0036-7672(19990605)129:22<847:L(SWRF>2.0.ZU;2-L
Fonte:
ISI
Lingua:
GER
Soggetto:
POLYMERASE CHAIN-REACTION; INTERROGANS; DIAGNOSIS; ENDOTOXIN;
Keywords:
leptospirosis; Weil's syndrome; renal failure; jaundice; xanthopsia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Drexel, H Landeskrankenhaus Feldkirch, Innere Med Abt, Carinagasse 47, A-6807 Feldkirch, Austria Landeskrankenhaus Feldkirch Carinagasse 47 Feldkirch Austria A-6807
Citazione:
W. Fuchs et al., "Leptospirosis (Weil's syndrome) with renal failure, severe jaundice, disseminated haemorrhages and xanthopsia", SCHW MED WO, 129(22), 1999, pp. 847-850

Abstract

We report a case of a 48-year-old man from western Austria with severe leptospirosis. This disease occurs worldwide but predominates in the tropics. The infectious urine of a wide variety of domestic and wild animals mediates transmission of the infection, which characteristically has a biphasic pattern. It begins with the "leptospiraemic phase" with high fever, conjunctival suffusion, muscle pain and headache. Hepatitis, nephritis and haemorrhages may follow The second "immune phase" has a greater variety of clinical manifestations. Fever and the initial symptoms may recur and the central and peripheral nervous system may be involved. The patient reported showed all major characteristics except conjunctival suffusion. The outcome was favourable despite some conditions with a poor prognosis (jaundice, renal failure, haemorrhages). The extreme severity of jaundice and the xanthopsia (yellow vision) make the case unique.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 20:54:23