Chakrabarti Abhiram, Nandy Manab, Pal Dipankar, Mallik Sudesna
Department of Radiodiagnosis, Calcutta School of Tropical Medicine, Kolkata, India.
Department of Pharmacology, Calcutta National Medical College, Kolkata, India.
Asian Pac J Trop Biomed. 2014 May;4(Suppl 1):S66-9. doi: 10.12980/APJTB.4.2014D126.
Leptospirosis, a disease of protean manifestations occurs sporadically throughout the year with a peak seasonal incidence during the rainy season mimicking other febrile viral illness. In the rare case, the disease leads to renal and hepatic involvement with hemorrhage which may be associated with multisystem organ dysfunction in form of pulmonary, cardiac and central nervous system, when it is known as Weil's disease. Rarely haemorrhagic manifestations are assosciated. Early diagnosis is important as sometimes the disease may be life threatening. Proper antibiotics results in dramatic improvement. We hereby presented a case that had clinical features of Weil's disease with cough, dyspnoea and haemoptysis. Leptospirosis was detected on ELISA testing. Patient was cured rapidly with antibiotics.
钩端螺旋体病是一种临床表现多样的疾病,常年散发,雨季发病率达到高峰,症状与其他发热性病毒疾病相似。在罕见情况下,该病会导致肾脏和肝脏受累并伴出血,进而可能引发肺、心脏和中枢神经系统等多系统器官功能障碍,即韦尔氏病。出血表现很少见。早期诊断很重要,因为该病有时可能危及生命。使用适当的抗生素可使病情显著改善。我们在此报告一例具有韦尔氏病临床特征(咳嗽、呼吸困难和咯血)的病例。通过酶联免疫吸附测定(ELISA)检测发现钩端螺旋体病。患者使用抗生素后迅速治愈。