%0 Case Reports
%T Leptospirosis: a clinical and diagnostic challenge.
%A Saliba J
%A Vassallo C
%A Saliba J
%A Pace Bardon M
%J BMJ Case Rep
%V 17
%N 5
%D 2024 May 7
%M 38719252
暂无%R 10.1136/bcr-2023-256905
%X 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.