PDF(Pubmed)
Abstract：
We present the case of a man in his early 50s who presented with a history of fever, malaise and jaundice. Initial investigations showed liver and renal dysfunction with no discernible cause for the septic process. On starting intravenous antibiotics, the patient developed a septic-shock-like reaction requiring transfer to intensive care. A diagnosis of leptospirosis was eventually established through an extensive and thorough history leading to a stepwise approach to investigations. Treatment targeting leptospirosis was delivered with noticeable clinical improvement.
摘要：
我们介绍了一个50岁出头的男人，他有发烧史，不适和黄疸。初步调查显示肝脏和肾脏功能障碍，没有明显的败血症原因。在开始静脉注射抗生素时，患者出现脓毒性休克样反应,需要转至重症监护.钩端螺旋体病的诊断最终通过广泛而彻底的历史建立，从而逐步进行调查。针对钩端螺旋体病的治疗得到了显着的临床改善。
