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All Journal Indonesian Journal of Tropical and Infectious Disease
Samuel Halim
Internal Medicine Department, Hermina Hospitals Kemayoran, Jakarta, Indonesia - Department of Internal Medicine, Faculty of Medicine, Universitas Tarumanegara, Jakarta, Indonesia
Earth & Planetary Sciences Health Professions Medicine & Pharmacology Public Health

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Severe Leptospirosis (Weil’s Disease) with Multiple Organ Failure in Urban Setting: A Case Report Samuel Halim; Bryan Arista Hartono
Indonesian Journal of Tropical and Infectious Disease Vol. 11 No. 1 (2023)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v11i1.39466

Abstract

Leptospirosis is a rare disease that could cause multiple organ failures and death if left untreated. The correct treatment will determine the recovery of patients. A 28-years old male came to the Emergency Department with profuse diarrhea. No prior medical history; worked as a private employee recently assigned to collect rat traps one week before. Laboratories show severe thrombocytopenia, acute liver failure, and acute renal failure support by imaging with the conclusion of hepatomegaly with normal kidney size. During observation in the emergency room, the patient worsens into septic shock. The patient was treated in intensive care, diagnosed with Weil's disease, and treated given antibiotics with aggressive fluid therapy; dialysis was postponed, and close monitoring of the patient's symptoms and organ function. After five days of care, clinical symptoms and organ function improved, and the patient was discharged well. Diagnosis of Leptospirosis is challenging with a combination of signs and symptoms that are not commonly found. Therefore, primary treatment is antibiotic and supportive care such as renal replacement therapy is not routinely needed as long there are improvements in close monitoring. This objective is to increase awareness and treatment option for further severe leptospirosis cases
Co-Authors Bryan Arista Hartono