Garrido R, Castillo L, Hernández G, Abarca J, Montes J M, Monsalve V, Espinoza R, Valenzuela S, Pérez G
Departamento de Anestesiología, Hospital Clínico, P Universidad Católica, Santiago de Chile.
Rev Med Chil. 1996 Mar;124(3):359-62.
Leptospirosis is a world-spread zoonosis that is incidentally acquired by humans. It causes a diphasic febrile illness in which the Weil syndrome is its severest form, with renal, hepatic, clotting and central nervous system involvement. We report a 73 years old male, that was admitted to an intensive care unit with multiple organ failure due to leptospirosis. The clinical picture initially resembled a sepsis due to biliary tract obstruction and was operated, not finding a biliary tract obstruction. Considering the history of a fall to sewed waters, leptospirosis was suspected and treatment with penicillin was started, obtaining a full recovery of the patient.
钩端螺旋体病是一种在全球传播的人畜共患病，人类可偶然感染。它会引发双相热性病，其中韦尔综合征是最严重的形式，会累及肾脏、肝脏、凝血及中枢神经系统。我们报告一名73岁男性，因钩端螺旋体病导致多器官衰竭入住重症监护病房。临床表现最初类似因胆道梗阻引起的败血症，遂进行手术，但未发现胆道梗阻。鉴于患者有跌入污水的病史，怀疑为钩端螺旋体病并开始用青霉素治疗，患者最终完全康复。
