El Hasbani Georges, Farooqui Sarmad Riaz, Kofahi Ahmad, Saeed Yasir, Tayeh Omar, Abu-Hishmeh Mohammad, Moran Herbeth, Troya-Maldonado Marcelo, Khanna Rajan, Assaker Jean-Pierre, Assaker Richard
American University of Beirut Medical Center, Beirut, Lebanon.
Lincoln Medical and Mental Health Center, Bronx, New York, USA.
IDCases. 2019 Jun 13;17:e00574. doi: 10.1016/j.idcr.2019.e00574. eCollection 2019.
Leptospirosis, an infectious zoonosis, is common to tropical areas. The clinical presentation varies from flu-like symptoms to a serious presentation called Weil's syndrome. Fever and conjunctival suffusion are present in the majority of patients. This case report describes a resident of New York City who presented initially with gastroenteritis symptoms without fever or conjunctival suffusion to develop septic shock before being diagnosed with leptospirosis.
钩端螺旋体病是一种传染性人畜共患病，在热带地区很常见。其临床表现从类似流感的症状到一种称为韦尔综合征的严重表现不等。大多数患者会出现发热和结膜充血。本病例报告描述了一名纽约市居民，最初表现为肠胃炎症状，无发热或结膜充血，在被诊断为钩端螺旋体病之前发展为感染性休克。
