Resumo

GARCIA PORTELA, Rafael; RUZ HERNANDEZ, Mario; GARCIA OTERO, Marién  e  MARIN HERNANDEZ, Dayand. Leptospirosis and microangiopathic hemolytic anemia. A case report. Rev Ciencias Médicas [online]. 2011, vol.15, n.1, pp. 206-212. ISSN 1561-3194.

A 47 year-old, Caucasian housewife-woman who lives in a rural area was admitted at "Abel Santamaria Cuadrado" University Hospital presenting high fever, arthralgia and myalgia of the lower limbs, vomits and marked diarrhea, asthenia, anorexia and saffron-colored (jaundice) skin and mucosa. Serological examinations showed leptospirosis caused by Laelia autumnalis. The prevailing hemolytic nature of jaundice was proved; which provoked an intense anemia, the patient needed a blood transfusion. The possible causes of hemodialysis were analyzed. Microangiopathic hemolytic anemia is a rare complication in leptospirosis.

Palavras-chave : LEPTOSPIROSIS [complications]; HEMOLYTIC ANEMIA [diagnosis].

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