Leptospirosis is a common zoonosis that is endemic in the tropical Top End of the Northern Territory. Disease ranges from mild to very severe. We report a patient with anicteric leptospirosis who became critically ill, challenging the view that anicteric leptospirosis is less severe than the icteric form. Despite a typical but non-specific presentation and recreational high-risk activities, diagnosis of leptospirosis was delayed. The patient developed respiratory failure, resulting from pulmonary haemorrhage, and acute renal failure. This case highlights the multiple factors that should prompt health care workers to consider the diagnosis of leptospirosis in non-classical presentations.
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CLINICAL MANIFESTATION AND EPIDEMIOLOGICAL PECULIARITIES OF LEPTOSPIROSIS AT THE MODERN STAGE IN GEORGIA.
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1Tbilisi State Medical University, The First University Clinic, Georgia.
Introduction: Leptospirosis is considered one of the most common zoonotic infections in the world and is characterized by distribution in countries of subtropical and tropical zones. In Georgia A sharp increase in the frequency of leptospirosis began in 2011, and the morbidity rate increased to 16.3.
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Article Synopsis
- Leptospirosis is a widespread bacterium that affects both humans and animals, typically causing mild infections, but in some cases, it can lead to severe conditions like Weil's disease, which involves liver issues and, rarely, complications such as cholecystitis.
- In a case study, a 66-year-old man with symptoms of abdominal pain, fever, and jaundice was initially diagnosed with acute calculous cholecystitis, but further investigation revealed signs of leptospirosis, leading to appropriate treatment before surgery.
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