An 18-year-old man presented with a 2-day history of fever, vomiting, and diarrhea.
Three weeks before presentation, he had fallen into a canal
What is the most likely diagnosis?
Three weeks before presentation, he had fallen into a canal
What is the most likely diagnosis?
Physical exam was notable for the findings shown in the image.
Laboratory studies showed acute kidney injury and elevations in aminotransferase and total bilirubin levels.
Laboratory studies showed acute kidney injury and elevations in aminotransferase and total bilirubin levels.
Empirical treatment with intravenous penicillin was initiated.
β¦οΈ
Serum nucleic acid amplification testing identified leptospira species of the serogroup icterohaemorrhagiae.
β¦οΈ
Serum nucleic acid amplification testing identified leptospira species of the serogroup icterohaemorrhagiae.
Leptospirosis manifesting as fever, jaundice, renal failure, and hemorrhage was suspected on the basis of
πthe patientβs classic presentations
π (including the subconjunctival bleeding)
π exposure to water with probable contamination by rodent urine.
πthe patientβs classic presentations
π (including the subconjunctival bleeding)
π exposure to water with probable contamination by rodent urine.
Loading suggestions...