HEPATIC AND RENAL SUPPORT IN CASE OF SEVERE LEPTOSPIROSIS – WEIL SYNDROME
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| Article Title: | HEPATIC AND RENAL SUPPORT IN CASE OF SEVERE LEPTOSPIROSIS – WEIL SYNDROME |
| Authors: | Cristian Nicolescu1, Silviu Moldovan1, Paul Deme1,2, Alexandru Pop2 |
| Affiliation: | 1Emergency County Hospital of Arad, 2West University of Vasile Goldis Arad. |
| Abstract: | The Weil Syndrome occurs on very rare occasions and is due to infection with leptospirosis. A 43 year old male patient, admitted in ICU, presenting clinical picture of acute hepatic failure and the lab findings revealed sepsis and renal failure, underwent the procedure of artificial hepatic support and continuous renal support with an additional adsorber. These procedures allowed the favorable evolution of the patient and could be used, in the future, as an efficient treatment in case of hepatic failure, regardless of the underlying cause. |
| Keywords: | leptospirosis, sepsis, acute hepatic failure, renal failure |
| References: | 1. Centers for Disease Co2. Centers for Disease Control and Prevention, author. Leptospirosis. 2015. Retrieved fromhttp://www.cdc.gov/leptospirosis 2. S. Visith, P. Kearkiat.Nephropathy in leptospirosis.J Postgrad Med, 51 (2005), pp. 184-188 3. A.R. Bharti, J.E. Nally, J.N.l. Ricaldi.Leptospirosis: a zoonotic disease of global importance.Lancet Infect Dis, 3 (2003), pp. 757-77 4. E. De Francesco, K.L. Daher, G.B. Soares de Abreu, J. Silva.Leptospirosis-associated acute kidney injury. J Bras Nefrol, 32 (2010), pp. 400-407 5. R. Moretti, S. Scarrone, B. Pizzi, V. Bonato, N. Vivaldi.Coupled filtration plasma-adsorption in Weil’s syndrome: case report. Minerva Anestesiol, 77 (2011), pp. 846-849 6. R.C. Abdulkader, M.V. Silva.The kidney in leptospirosis.Pediatr Nephrol, 23 (2008), pp 7. L. Andrade, E. de Francesco Daher, A.C. Seguro.Leptospiral nephropathy.Semin Nephrol, 28 (2008), pp. 3 8. T. Panaphut, S. Domrongkithaporn, A. Vibhagool, B. Thinkamrop, W. Susanengrat.Ceftriaxone compared with sodium penicillin G for treatment of severe leptospirosis. Clin Infect Dis, 36 (2003), pp. 1507-151 9. Li Cavoli g,Totorici C,Bena L et al.Acute renal failure in Weil”s Disease .Dialisisy transplante 2013 ;34:33 ,5 10. IttyachenA.,Krishnopillai T,Nair M,Rojou A. retrospective study of severe cases of leptospirosis admitted in the intensive care unit J PostMed.2007 ;53:232-5 11. Pappas G,Genia A Optimal treatment of leptospirosis :queries and projections INt.J.Antimicrob. Agents 2006;28:491-6 |
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