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Enfermedad de Carrión grave complicada con leptospirosis aguda: reporte de un caso

2014; National Institute of Health of Peru; Volume: 31; Issue: 2 Linguagem: Inglês

10.17843/rpmesp.2014.312.63

1726-4642

Anderson Huerta, Marcia Salas, Jorge Yarinsueca, Ciro Maguiña Várgas,

Leptospirosis research and findings

The case of an adult, 56 year old male is reported, from Sihuas (Ancash) who presented at Hospital Nacional Dos de Mayo with fever, jaundice and anemia. In three days of hospitalization, he developed severe anemia (Hb: 11.8 to 6.7 g / dL) and generalized myalgias associated with a sudden worsening jaundice correlated with elevated bilirubin (TB 3.2 to 19.6 mg / dL direct dominance) and general deterioration. Microbiological smear and culture were positive for Bartonella bacilliformis. Subsequent serology (microagglutination) was positive for Lesptospira serovar Pomona. The patient was given specific antibiotic therapy (ceftriaxone and ciprofloxacin), transfused two units of packed red blood cells, improved clinically and was discharged.