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2024, Number 3

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Rev Latin Infect Pediatr 2024; 37 (3)

Leptospirosis with multiorgan involvement in a 14-year-old adolescent in Barranquilla-Colombia: case report and literature review

Sánchez ARA, Acosta BC, Mendoza CAM

Language: Spanish
References: 14
Page: 129-134
PDF size: 376.63 Kb.


ABSTRACT

Leptospirosis is an infectious disease caused by spirochetes of the genus Leptospira; in Colombia, considered as an event of mandatory and individual notification to the National Surveillance System (SIVIGILA). It is an important cause of febrile syndrome that most frequently affects tropical areas. Its main reservoir is rodents, it is related to factors of poverty, health deficit, recreational activities and contact with the urine of infected animals, contaminated water or soil. The case of a 14-year-old male adolescent, who presents with febrile syndrome that progresses to cardiovascular involvement due to findings of moderate secondary mitral insufficiency and systolic dysfunction of the left ventricle, pulmonary involvement due to pneumonia complicated with bilateral pleural effusion, compromised kidney and liver; given risk factors and clinical suspicion of leptospirosis, IgM serology is performed on paired samples that are positive; directed management is installed with satisfactory clinical evolution.


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