Data/hora: 13/06/2024 04:05:52

Provedor de dados: | Brazilian Journal of Infectious Diseases
País: | Brazil
Título: | Leptospirosis mimicking sepsis after orthopedic surgery: a case report
Autores: | Abboud,C. S.; Vargas,J; Ferraretto,I.
Data: | 2001-10-01
Ano: | 2001
Palavras-chave: | Leptospirosis; Sepsis; Orthopedic surgery.
Resumo: | We report a case of leptospirosis that occurred after elective surgery involving tendon transfer and shoulder arthroscopy. The disease mimicked hospital infection after orthopedic surgery and was at first misdiagnosed as post-operative sepsis. The patient was 60 year old female that developed sepsis with hypotension, shock, bleeding, jaundice and renal insufficiency 4 hours after surgery. Shock treatment procedures were performed and broad spectrum antibiotic therapy was used with coverage for bacteria acquired in hospitals. A careful investigation was carried out by the Hospital Infection Control Service in search of the possible source of the infection. After clinical evaluation by a specialist in infectious diseases, the hypothesis of leptospirosis was put forward based on clinical and epidemiological data. The hypothesis was later confirmed by the positive result of serological tests with the microagglutination method that yielded 1:800 and then 1:12,600 7 days later. This is the first reported case of leptospirosis manifest directly following surgery, mimicking postoperative sepsis.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702001000500006
Editor: | Brazilian Society of Infectious Diseases
Relação: | 10.1590/S1413-86702001000500006
Formato: | text/html
Fonte: | Brazilian Journal of Infectious Diseases  v.5 n.5 2001
Fonte: | info:eu-repo/semantics/openAccess