Hochholzer Willibald, Orasch Christina, Huber Stefanie, Arranto Christian, Hunziker Sabina
University Hospital Basel, Department of Internal Medicine, Petersgraben 4, Basel, 4031, Switzerland.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.01.2009.1437. Epub 2009 Jun 1.
We report the difficulties encountered in diagnosing leptospirosis in an 85-year-old man who presented with non-specific signs and symptoms. Initially, a wide haematologic and oncologic work-up without significant results was performed, as symptoms of several organ dysfunctions emerged and the clinical course showed a rapid deterioration. After several days without a definite diagnosis, the infection was finally detected after reviewing all results and considering the patient's profession as a farmer. After receiving appropriate antibiotic treatment the patient recovered fully.
我们报告了一名85岁男性患者在诊断钩端螺旋体病时遇到的困难，该患者表现出非特异性的体征和症状。最初，由于出现了多种器官功能障碍的症状且临床病程迅速恶化，进行了全面的血液学和肿瘤学检查，但结果无明显异常。在数天未能明确诊断后，在复查所有结果并考虑到患者农民职业后，最终检测到了感染。接受适当的抗生素治疗后，患者完全康复。
