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重症钩端螺旋体病的复杂性:一例伴有急性低氧性呼吸衰竭、急性肾损伤和低钠血症的病例

Complexities of Severe Leptospirosis: A Case With Acute Hypoxic Respiratory Failure, Acute Kidney Injury, and Hyponatremia.

作者信息

Maqbool Hamza, Memon Waqas

机构信息

Internal Medicine, Continental Medical College, Lahore, PAK.

Internal Medicine/Nephrology, University of Virginia, Lynchburg, USA.

出版信息

Cureus. 2024 Aug 2;16(8):e66027. doi: 10.7759/cureus.66027. eCollection 2024 Aug.

Abstract

Leptospirosis, an acute zoonotic infection caused by spirochetes of the genus Leptospira, poses significant health risks worldwide. Transmission occurs through contact with infected animals' urine, blood, or tissue. This case report examines a 44-year-old man with severe leptospirosis, presenting as Weil's disease, characterized by acute hypoxic respiratory failure and acute kidney injury (AKI) secondary to rhabdomyolysis, complicated by severe hyponatremia. The case underscores the diagnostic and management challenges associated with leptospirosis, highlighting the importance of interdisciplinary collaboration and comprehensive diagnostic evaluation.

摘要

钩端螺旋体病是一种由钩端螺旋体属螺旋体引起的急性人畜共患感染病,在全球范围内构成重大健康风险。其传播途径是通过接触受感染动物的尿液、血液或组织。本病例报告研究了一名患有严重钩端螺旋体病的44岁男性,表现为韦尔病,其特征为急性缺氧性呼吸衰竭以及继发于横纹肌溶解的急性肾损伤(AKI),并伴有严重低钠血症。该病例强调了与钩端螺旋体病相关的诊断和管理挑战,突出了跨学科协作和全面诊断评估的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d74/11366304/d0e51b590495/cureus-0016-00000066027-i01.jpg

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