Iragorri Sandra, Tullus Kjell
Great Ormond Street Hospital for Children NHS Trust, London, UK.
Am J Kidney Dis. 2009 Oct;54(4):721-5. doi: 10.1053/j.ajkd.2009.01.274. Epub 2009 Jun 3.
Leptospirosis was diagnosed in a child presenting with acute kidney injury, anemia, and thrombocytopenia. Initial symptoms included abdominal pain and nonbloody diarrhea, followed by fever, vomiting, and skin rash. Leptospirosis was suspected and eventually confirmed. Although leptospirosis is uncommon in temperate climates, it is occurring in increasing numbers of participants in water sports, making it a consideration in the differential diagnosis of hemolytic uremic syndrome.
一名出现急性肾损伤、贫血和血小板减少症的儿童被诊断为钩端螺旋体病。最初症状包括腹痛和非血性腹泻，随后出现发热、呕吐和皮疹。怀疑为钩端螺旋体病并最终得到确诊。尽管钩端螺旋体病在温带气候中并不常见，但参与水上运动的人数却在增加，这使得它成为溶血性尿毒症综合征鉴别诊断时需要考虑的因素。
