发热、黄疸和急性肾衰竭。
Fever, jaundice and acute renal failure.
作者信息
O'Toole Sam M, Pathak Neha, Toms Graham C, Gelding Susan V, Sivaprakasam Venkat
机构信息
Department of Endocrinology, Newham University Hospital, Barts Health NHS Trust, London, UK
Department of Endocrinology, Newham University Hospital, Barts Health NHS Trust, London, UK.
出版信息
Clin Med (Lond). 2015 Feb;15(1):58-60. doi: 10.7861/clinmedicine.15-1-58.
Leptospirosis is an uncommon infectious disease that has protean clinical manifestations ranging from an innocuous 'flu-like' illness to potentially life-threatening multi-organ failure. Here we describe a case of Weil's disease that presented on the acute medical take with fever, jaundice and acute renal failure. We highlight the importance of careful history taking at the time of admission and how understanding the epidemiology and pathophysiology of leptospirosis enables a definitive diagnosis to be reached.
钩端螺旋体病是一种罕见的传染病，其临床表现多样，从无害的“流感样”疾病到可能危及生命的多器官衰竭。在此，我们描述一例韦尔氏病，该病例以发热、黄疸和急性肾衰竭的形式出现在急性内科病房。我们强调入院时仔细询问病史的重要性，以及了解钩端螺旋体病的流行病学和病理生理学如何有助于做出明确诊断。
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