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Revista Cubana de Medicina Tropical
On-line version ISSN 1561-3054
Abstract
MODESTO DOS SANTOS, Vitorino; ARUDA MODESTO DOS SANTOS, Jenner; ARRUDA MODESTO SUGAI, Taciana and ARRUDA MODESTO DOS SANTOS, Lister. Weils Syndrome. Rev Cubana Med Trop [online]. 2003, vol.55, n.1, pp. 44-46. ISSN 1561-3054.
A case of leptospirosis in an 18-year-old white male was reported. Weils syndrome was characterized by intense jaundice, acute renal failure, skin ecchymoses and conjunctival suffusion, in addition to meningitis. The polymerase chain reaction for Leptospira was negative, while the titers of the antibody microagglutination test against L. grippotyphosa rose higher than fourfold (up to 1:1,600) in the same blood sample. Patients treatment consisted of rehydration and supportive care of acute renal failure, besides antibiotic therapy. Penicillin administration started after 6 days of disease. Patient improved without clinical sequelae.
Keywords : LEPTOSPIRA INTERROGANS; LEPTOSPIROSIS [therapy]; WEILS DISEASE [therapy]; REHYDRATION; KIDNEY FAILURE ACUTE [therapy]; ANTIBIOTICS.