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Severe acute renal failure in a child: a rare complication of anicteric leptospirosis.
Pediatr Nephrol. 2007 Nov; 22(11):1971-4.PN

Abstract

A 14-year-old male patient was admitted with fever, vomiting, muscular pain, mainly in the lower limbs, oliguria and oedema. The presence of rats in the vicinity of the home was reported. Laboratory tests on admission revealed severely compromised renal function and increased phosphokinase creatine and thrombocytopenia. Although the patient presented an atypical course without jaundice or meningeal involvement, early dialytic treatment was administered concomitant with empiric antibiotic therapy for leptospirosis. The probable infected serogroup by serology was Autumnalis. This atypical case illustrates that, in the presence of fever, renal failure, rhabdomyolysis and thrombocytopenia, leptospirosis should be considered, even in the absence of jaundice or meningitis, especially if there is a history of contact with carrier animals.

Authors+Show Affiliations

Pediatric Intensive Care Unit, Department of Pediatrics, Hospital do Servidor Público Municipal, São Paulo, Brazil. psls.nat@terra.com.brNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17638021

Citation

da Silva, Paulo Sérgio Lucas, et al. "Severe Acute Renal Failure in a Child: a Rare Complication of Anicteric Leptospirosis." Pediatric Nephrology (Berlin, Germany), vol. 22, no. 11, 2007, pp. 1971-4.
da Silva PS, Lipinski RW, Magalhães RP, et al. Severe acute renal failure in a child: a rare complication of anicteric leptospirosis. Pediatr Nephrol. 2007;22(11):1971-4.
da Silva, P. S., Lipinski, R. W., Magalhães, R. P., & Romero, E. C. (2007). Severe acute renal failure in a child: a rare complication of anicteric leptospirosis. Pediatric Nephrology (Berlin, Germany), 22(11), 1971-4.
da Silva PS, et al. Severe Acute Renal Failure in a Child: a Rare Complication of Anicteric Leptospirosis. Pediatr Nephrol. 2007;22(11):1971-4. PubMed PMID: 17638021.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severe acute renal failure in a child: a rare complication of anicteric leptospirosis. AU - da Silva,Paulo Sérgio Lucas, AU - Lipinski,Rubens Wolfe, AU - Magalhães,Roberta Penha Paiva, AU - Romero,Eliete Calo, Y1 - 2007/07/19/ PY - 2007/04/21/received PY - 2007/05/23/accepted PY - 2007/05/16/revised PY - 2007/7/20/pubmed PY - 2007/12/7/medline PY - 2007/7/20/entrez SP - 1971 EP - 4 JF - Pediatric nephrology (Berlin, Germany) JO - Pediatr Nephrol VL - 22 IS - 11 N2 - A 14-year-old male patient was admitted with fever, vomiting, muscular pain, mainly in the lower limbs, oliguria and oedema. The presence of rats in the vicinity of the home was reported. Laboratory tests on admission revealed severely compromised renal function and increased phosphokinase creatine and thrombocytopenia. Although the patient presented an atypical course without jaundice or meningeal involvement, early dialytic treatment was administered concomitant with empiric antibiotic therapy for leptospirosis. The probable infected serogroup by serology was Autumnalis. This atypical case illustrates that, in the presence of fever, renal failure, rhabdomyolysis and thrombocytopenia, leptospirosis should be considered, even in the absence of jaundice or meningitis, especially if there is a history of contact with carrier animals. SN - 0931-041X UR - https://www.unboundmedicine.com/medline/citation/17638021/Severe_acute_renal_failure_in_a_child:_a_rare_complication_of_anicteric_leptospirosis_ L2 - https://dx.doi.org/10.1007/s00467-007-0547-6 DB - PRIME DP - Unbound Medicine ER -