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Weil's Disease in a Young Homeless Man Living in Lisbon

dc.contributor.authorMoreira Marques, T
dc.contributor.authorNascimento, P
dc.contributor.authorAlmeida, A
dc.contributor.authorTosatto, V
dc.date.accessioned2022-04-28T14:15:04Z
dc.date.available2022-04-28T14:15:04Z
dc.date.issued2020
dc.description.abstractLeptospirosis is a zoonotic disease of worldwide distribution caused by infection with Leptospira genus bacteria, a pathogenic spirochaete. We present the case of a 29-year-old man admitted to our hospital with fever and multiorgan failure. He provided poor information about his symptoms. No recent travel or occupational history was reported and his clinical presentation did not suggest any infectious foci. His relatives later disclosed that he had been homeless for 3 weeks in the context of behavioural changes, obtaining foodstuff from waste containers and water from rain puddles. In the setting of this epidemiology, his presentation of fever, jaundice, acute renal injury and thrombocytopaenia suggested leptospirosis. Prompt empirical antimicrobial coverage was started, alongside organ support therapy. The diagnosis was later confirmed through microscopical and molecular methods. The patient made a full recovery. Leptospirosis should be considered early in the diagnostic work-up of any patient with acute febrile illness with multiorgan system involvement, with the identification of risk factors being essential to treat early in development of the disease.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMJ Case Rep. 2020 Jun 11;13(6):e233543.pt_PT
dc.identifier.doi10.1136/bcr-2019-233543.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4050
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJpt_PT
dc.subjectHSM MEDpt_PT
dc.subjectAdultpt_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectAdministration, Intravenouspt_PT
dc.subjectAnti-Bacterial Agents / administration & dosagept_PT
dc.subjectCeftriaxone / administration & dosage*pt_PT
dc.subjectCritical Care / methodspt_PT
dc.subjectDiagnosis, Differentialpt_PT
dc.subjectEnvironmental Exposure* / adverse effectspt_PT
dc.subjectEnvironmental Exposure* / analysispt_PT
dc.subjectFluid Therapy / methodspt_PT
dc.subjectHomeless Personspt_PT
dc.subjectKidney Function Testspt_PT
dc.subjectLeptospira interrogans / isolation & purification*pt_PT
dc.subjectLiver Function Testspt_PT
dc.subjectMultiple Organ Failure* / diagnosispt_PT
dc.subjectMultiple Organ Failure* / etiologypt_PT
dc.subjectThrombocytopenia* / diagnosispt_PT
dc.subjectThrombocytopenia* / etiologypt_PT
dc.subjectTreatment Outcomept_PT
dc.subjectWeil Disease* / bloodpt_PT
dc.subjectWeil Disease* / diagnosispt_PT
dc.subjectWeil Disease* / therapypt_PT
dc.subjectWeil Disease* / drug therapypt_PT
dc.titleWeil's Disease in a Young Homeless Man Living in Lisbonpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleBMJ Case Reportspt_PT
oaire.citation.volume13pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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