Anuria, an Atypical Presentation of Leptospirosis: A Case Report

Journal of Nepal Medical Association

Rukshar Thapa¹  Madalasha Pokhrel¹  Shambhu Khanal²  Rabin Nepali³  Biraj Pokhrel⁴ 

[1] Department of Internal Medicine, Manipal College of Medical Sciences, Pokhara, Nepal;Department of Internal Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal;Department of Nephrology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal;Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal;

关键词: anuria;    case report;    leptospirosis;    renal insufficiency;    zoonoses.;   

DOI  :  10.31729/jnma.6240

来源: DOAJ

【 摘 要 】

Leptospirosis, an underreported disease, is a highly prevalent spirochaetal zoonotic disease in both tropical and temperate climates. Symptoms can range from mild illness to potentially life-threatening infection. Laboratory tests are nonspecific. Microbiological confirmation is not widely available in endemic developing countries like Nepal. We need to rely on the serologic test, which has its own pitfalls in the initial days of illness. Here, we report a case of 56 years old female from the western region of Nepal who presented with fever, jaundice and anuria. She initially tested negative for leptospirosis but was later found to be positive in the second week of illness. Unlike the usual non-oliguric renal failure in leptospirosis, she presented with anuria requiring haemodialysis and subsequently had a good recovery with treatment. We highlight the importance of clinical suspicion and logical interpretation of serologic tests based on its timing from the onset of illness.

【 授权许可】

Unknown