Case Reports |
Severe Leptospirosis with Unusual Manifestation
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 |
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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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