A Case of Leptospirosis with Acute Kidney Failure Accompanied by Fever, Liver Injury and Thrombocytopenia
2018; The Japanese Society of Internal Medicine; Volume: 107; Issue: 10 Linguagem: Japonês
10.2169/naika.107.2147
ISSN1883-2083
AutoresNaomi Ota, Aki Warada, Tomohiro Asaoka, Hiroki Okushima, Yukimasa Iwata, Karin Shimada, Kensuke Mitsumoto, Rei Iio, Yuichiro Oba, Tatsuya Shoji, Terumasa Hayashi,
Tópico(s)Leptospirosis research and findings
Resumo50歳，男性．発熱，頭痛，関節痛，全身搔痒感及び結膜充血にて来院した．検査の結果，腎障害，肝障害及び血小板減少も来たしていた．職場が魚等を扱う市場であったことからレプトスピラ症を疑い，診断に先行して治療を開始し，改善を得た．発熱性疾患で急性肝・腎障害が合併する症例では，職業歴等も考慮し，レプトスピラ症を念頭に置く必要がある．
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