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Journal of Tropical Pediatrics 2007 53(1):55-58; doi:10.1093/tropej/fml085
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Reports

Severe Leptospirosis with Unusual Manifestation

Norlijah Othmana, H. I. Intana, C. W. Yipa, M. Aliasb and F. Amranc

aFaculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia
bInstitute of Paediatrics, Kuala Lumpur, Malaysia
cInstitutes for Medical Research, Kuala Lumpur, Malaysia

Correspondence: Dr Norlijah Othman, Paediatric Unit, Human Growth and Development, Faculty of Medicine and Health Science, Jln Masjid 50586, Kuala Lumpur, Malaysia. E-mail < nor{at}medic.upm.edu.my>.


  Abstract

We report a case of an 8-year-old aborigine boy referred to our hospital for respiratory insufficiency with skin eruptions over the trunk and limbs. The skin condition was diagnosed as acquired ichthyosis. He also had a non-bleeding form of disseminated intravascular coagulopathy. Radiograph of the lungs showed bilateral perihilar opacities with bilateral pleural effusion. The diagnosis of leptospirosis was confirmed by a 4-fold rise in microagglutinating titre and polymerase chain reaction assay.

Key Words: leptospirosis • disseminated intravascular coagulopathy (DIC) • pleural effusion • acquired icthyosis


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