Severe Leptospirosis in a Mexican Woman.

Autor:	Balderrama-Carmona AP; Departamento de Ciencias Químico Biológicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora, México., Cadena-Orea D; Instituto Mexicano del Seguro Social (IMSS). Hospital de Especialidades No. 2 'Lic. Luis Donaldo Colosio'. Cd. Obregón, Sonora, México., Sánchez-Arteaga S; Instituto Mexicano del Seguro Social (IMSS). Hospital de Especialidades No. 2 'Lic. Luis Donaldo Colosio'. Cd. Obregón, Sonora, México., Aguilera-Ávila ML; Instituto Mexicano del Seguro Social (IMSS). Hospital de Especialidades No. 2 'Lic. Luis Donaldo Colosio'. Cd. Obregón, Sonora, México., Soñanez-Organis JG; Departamento de Ciencias Químico Biológicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora, México., López-López AA; Laboratorio Sonora Labs. Hermosillo, Sonora, México., Zamora-Alvarez LA; Departamento de Ciencias Químico Biológicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora, México., de Los Ángeles Díaz-Reyes G; Departamento de Ciencias Químico Biológicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora, México., Adan-Bante NP; Departamento de Ciencias Químico Biológicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora, México. patricia.adan@unison.mx.
Jazyk:	angličtina
Zdroj:	Acta medica academica [Acta Med Acad] 2020 Apr; Vol. 49 (1), pp. 67-70.
DOI:	10.5644/ama2006-124.285
Abstrakt:	Objective: To describe a severe case of infection by Leptospira in a woman in the northwest of Mexico. Case Report: A 55-yearold woman from Sonora, México arrived at the Intensive Care Unit due to severe multiple organ failure primarily affecting the respiratory, renal and hepatic systems. Diagnostic tests were performed, and they were positive for anti-Leptospira antibodies, IgM and IgG; and spirochetes were observed on dark field microscopy and confirmed by Polymerase Chain Reaction (PCR). Doxycycline and platelet apheresis transfusion were used as treatment, which led to a very slow recovery. Conclusion: The information presented in this study may help in the identification of pathology caused by spirochetes. This case report is the first to present a case of severe leptospirosis in Sonora, México. (Copyright © 2020 by Academy of Sciences and Arts of Bosnia and Herzegovina.)
Databáze:	MEDLINE
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