Fiebre amarilla selvática con serología positiva para leptospira en un varon joven peruano

Edinson Dante Meregildo-Rodriguez, Miguel Villegas-Chiroque

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Yellow fever (YF) and leptospirosis are under-diagnosed endemic zoonoses of the tropical regions of Africa and South America. Both may be clinically indistinguishable and present as an acute icterohemorrhagic febrile syndrome. We report the case of a 20-year-old male from the department of Amazonas who presented with nine days of disease characterized by multiorgan failure (neurological, renal, hepatic, respiratory, and hematological involvement). He received antibiotic treatment, as well as, transfusion, dialysis, hemodynamic, and ventilatory support. Despite the severity of the clinical condition, he evolved favorably. YF was confirmed by Rt-PCR and positive serology was obtained for leptospira by ELISA and microagglutination. However, from a laboratory point of view, real co-infection by yellow fever and leptospira could not be demonstrated. This case of severe YF with non-fatal outcome emphasizes the importance of adequate syndromic diagnosis, and early and aggressive supportive treatment that can save a patient's life.

Translated title of the contributionJungle yellow fever with positive serology for leptospira in a young peruvian male
Original languageSpanish
Pages (from-to)700-704
Number of pages5
JournalRevista Peruana de Medicina Experimental y Salud Publica
Volume36
Issue number4
DOIs
StatePublished - 2019
Externally publishedYes

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