Hubler A, Schibli A, Locher P
Klinik für Innere Medizin Triemli, Departement Innere Medizin, Stadtspital Waid und Triemli, Birmensdorferstrasse 497, 8063, Zürich, Schweiz.
Departement Innere Medizin, Abteilung für Infektiologie, Spitalhygiene und Personalmedizin, Stadtspital Waid und Triemli, Zürich, Schweiz.
Internist (Berl). 2021 Mar;62(3):315-319. doi: 10.1007/s00108-020-00908-8.
Unspecific flu-like symptoms, such as fever, headache and limb pain are encountered very often by general practitioners and in emergency departments. In patients with sepsis and a history of travelling to warmer climates, the differential diagnosis needs to be broader than just commonly encountered viral infections. A 27-year-old Swiss man presented with the symptoms mentioned above after a holiday in the south of France. The pulmonary, hepatic and renal status rapidly deteriorated and the patient required intensive care. The initially suspected diagnosis of leptospirosis could be confirmed serologically during the course of the disease.
全科医生和急诊科经常遇到非特异性流感样症状，如发热、头痛和肢体疼痛。对于有败血症且有前往温暖气候地区旅行史的患者，鉴别诊断范围需要比常见的病毒感染更广。一名27岁的瑞士男子在法国南部度假后出现了上述症状。其肺、肝和肾状况迅速恶化，患者需要重症监护。最初怀疑的钩端螺旋体病诊断在病程中通过血清学得到了证实。
