An unusual case of Weil's syndrome with paraparesis
Leptospirosis is an important emerging zoonosis with a worldwide distribution that is characterized by a broad spectrum of clinical manifestations ranging from inapparent infection to fulminant disease. Leptospirosis has protean clinical manifestations. The classical presentation of the disease is a...
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Published in | Indian journal of critical care medicine Vol. 15; no. 2; pp. 130 - 133 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
01.04.2011
Medknow Publications and Media Pvt. Ltd Jaypee Brothers Medical Publishers Ltd Medknow Publications |
Subjects | |
Online Access | Get full text |
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Summary: | Leptospirosis is an important emerging zoonosis with a worldwide
distribution that is characterized by a broad spectrum of clinical
manifestations ranging from inapparent infection to fulminant disease.
Leptospirosis has protean clinical manifestations. The classical
presentation of the disease is an acute biphasic febrile illness with
or without jaundice. Unusual clinical manifestations may result from
involvement of pulmonary, cardiovascular, neural, gastrointestinal,
ocular and other systems. Immunological phenomena secondary to
antigenic mimicry may also be an important component of many clinical
features and may be responsible for reactive arthritis. The
presentation of paraparesis in combination with Weil′s syndrome
is rare. Few cases were reported with leptospirosis and paraparesis in
India and abroad. It is important to bear in mind that leptospiral
illness may be a significant component in cases of dual infections or
in simultaneous infections with more than two pathogens. Here we are
reporting a case of Weil′s syndrome with paraparesis in
28-year-old male patient who was critically ill due to severe
hepatorenal dysfunction and hyperkalemia. |
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ISSN: | 0972-5229 1998-359X |
DOI: | 10.4103/0972-5229.83014 |