Navigation überspringen
Universitätsbibliothek Heidelberg
Status: Bibliographieeintrag

Verfügbarkeit
Standort: ---
Exemplare: ---
heiBIB
 Online-Ressource
Verfasst von:Daschner, Clara [VerfasserIn]   i
 Schübler, Anna-Sophie [VerfasserIn]   i
 Jung, Matthias [VerfasserIn]   i
 Ayasse, Niklas [VerfasserIn]   i
 Yücel, Gökhan [VerfasserIn]   i
 Husain-Syed, Faeq [VerfasserIn]   i
 Leipe, Jan [VerfasserIn]   i
 Krämer, Bernhard [VerfasserIn]   i
 Yazdani, Babak [VerfasserIn]   i
Titel:Severe leptospirosis with acute kidney injury
Titelzusatz:a case description and literature review : case reports
Verf.angabe:Clara Daschner, Anna-Sophie Schübler, Matthias Jung, Niklas Ayasse, Gökhan Yücel, Faeq Husain-Syed, Jan Leipe, Bernhard K. Krämer, Babak Yazdani
E-Jahr:2024
Jahr:December 2024
Umfang:8 S.
Fussnoten:Online veröffentlicht: 5. August 2024 ; Gesehen am 07.04.2025
Titel Quelle:Enthalten in: Nephron
Ort Quelle:Basel : Karger, 2015
Jahr Quelle:2024
Band/Heft Quelle:148(2024), 11/12 vom: Dez., Seite 832-839
ISSN Quelle:2235-3186
Abstract:Introduction: Leptospirosis is a globally transmitted zoonotic disease caused by Leptospira spp., a highly mobile, obligate aerobic, spiral-shaped bacteria. Described first by Adolf Weil in 1886, leptospirosis in Germany is rare, leading to a delayed diagnosis due to diverse symptoms. Most cases are mild, but severe forms, like Weil’s disease, cause life-threatening complications such as fever, jaundice, hemoptysis, and acute kidney injury (AKI). The aim of this work was to provide a literature review of leptospirosis with renal manifestation based on a case report. Case Presentation: We report the case of an 81-year-old male patient with initially unclear oliguric AKI, bilateral pulmonary infiltrates, and jaundice. After excluding common AKI causes, the expanded patient history suggested possible rat contact in his chicken coop. Finally, we serologically identified an infection with Leptospira spp. by positive IgM, proving that the illness was compatible with classical Weil’s disease. The patient underwent temporary hemodialysis and antibiotic treatment with intravenous penicillin G for 2 weeks. Under therapy, the AKI, hyperbilirubinemia, and clinical condition of the patient improved. The patient was discharged after 2 weeks. In the following controls, slightly impaired kidney function was observed, indicating a progress of his chronic kidney disease (CKD). Conclusion: Although leptospirosis is rare, there are some cases with a fulminant course. Impairment of renal function often correlates with severity of the disease requiring antibiotic treatment. In some cases, AKI progresses to CKD demonstrating the need to raise awareness for leptospirosis.
DOI:doi:10.1159/000540300
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1159/000540300
 DOI: https://doi.org/10.1159/000540300
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1921684399
Verknüpfungen:→ Zeitschrift

Permanenter Link auf diesen Titel (bookmarkfähig):  https://katalog.ub.uni-heidelberg.de/titel/69328715   QR-Code
zum Seitenanfang