IJRAP
International Journal of Research in Ayurveda and Pharmacy
2277-4343
Moksha Publishing House
10.7897/2277-4343.100374
WEIL__ampersandsignrsquo;S DISEASE WITH A PATHOGNOMONIC CONJUNCTIVAL SUFFUSION AND RASHES: A CASE REPORT
Vaishnavi K
Channaraya V
Ramakrishna Prudhivi *
Monika K A
Charitha K S
Ramana Reddy M
11
-0001
107
110
Abstract
Leptospirosis is an emerging infectious disease, as illustrated by recent large outbreaks in Asia, Central and South America, and the United States. Severe form of leptospirosis, characterized by jaundice, renal dysfunction, and haemorrhagic diathesis, is referred to as Weil__ampersandsignrsquo;s disease. The outbreak of Weil__ampersandsignrsquo;s disease in India has increased in past couple of years due to worst floods. A 39year old male admitted to the hospital with fever, uniform rashes, chills, and weakness. Initially the dengue and malaria rapid tests were negative with elevated GRBS, serum creatinine, bilirubin levels, SGOT/SGPT and decreased platelets. Patient was put on antibiotics in view of sepsis with UTI, AKI and thrombocytopenia. The next day Leptospirosis was confirmed with leptospira IgM and ELISA. The patient developed conjunctival suffusion, jerky movements and pedal oedema during hospitalisation which was decreased within 2days with the antibiotics. The hepatic and renal function improved on 6th day of admission and slowly the patient improved biochemically and symptomatically. The patient recovered and discharged after 9days of hospitalisation. The above case of Weil__ampersandsignrsquo;s disease presented was initially misinterpreted as Dengue this should serve to alert healthcare providers and the general public as leptospirosis is often overlooked and under diagnosed due to its non-specific symptoms. The physicians should be alerted to consider leptospirosis in the differential diagnosis so that early empirical treatment can be given.
Keywords
Weilâs disease
leptospirosis
acute kidney injury (AKI)
conjunctival suffusion.
References