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Two Patients Who Developed Leptospirosis-Associated Acute Renal Failure within the Same Season


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Title: Two Patients Who Developed Leptospirosis-Associated Acute Renal Failure within the Same Season
Authors: Yamashita, Hiroshi / Furusu, Akira / Nishino, Tomoya / Obata, Yoko / Miyazaki, Masanobu / Ichinose, Hiroshi / Higashiyama, Yasuhito / Ishino, Tohru / Koizumi, Nobuo / Hirakata, Yoichi / Kohno, Shigeru
Issue Date: 2010
Publisher: The Japanese Society of Internal Medicine / 日本内科学会
Citation: Internal Medicine, 49(12), pp.1143-1147; 2010
Abstract: In the autumn two patients with general malaise were consecutively admitted to the department of internal medicine of our hospital in the northern region of Nagasaki Prefecture. Since both patients were engaged in rice farm work and showed conjunctival suffusion and pain of the gastrocnemius muscle, leptospirosis was suspected. The first patient required temporary hemodialysis for renal dysfunction, whereas liver dysfunction developed in the second patient. The disease was remitted by antimicrobial agents. A diagnosis of leptospiro sis was made serologically in both patients. Leptospirosis should be considered as a differential diagnosis when a patient engaged in farm work in the autumn has typical symptoms, and an early initiation of treatment after onset is important.
Keywords: Acute renal failure / Autumn fever / Conjunctival suffusion / Leptospirosis / Muscle pain
URI: http://hdl.handle.net/10069/23426
ISSN: 09182918
DOI: 10.2169/internalmedicine.49.2920
Rights: © 2010 The Japanese Society of Internal Medicine.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/23426

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