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Pediatric Nephrology

, Volume 22, Issue 11, pp 1971–1974 | Cite as

Severe acute renal failure in a child: a rare complication of anicteric leptospirosis

  • Paulo Sérgio Lucas da SilvaEmail author
  • Rubens Wolfe Lipinski
  • Roberta Penha Paiva Magalhães
  • Eliete Calo Romero
Brief Report

Abstract

A 14-year-old male patient was admitted with fever, vomiting, muscular pain, mainly in the lower limbs, oliguria and oedema. The presence of rats in the vicinity of the home was reported. Laboratory tests on admission revealed severely compromised renal function and increased phosphokinase creatine and thrombocytopenia. Although the patient presented an atypical course without jaundice or meningeal involvement, early dialytic treatment was administered concomitant with empiric antibiotic therapy for leptospirosis. The probable infected serogroup by serology was Autumnalis. This atypical case illustrates that, in the presence of fever, renal failure, rhabdomyolysis and thrombocytopenia, leptospirosis should be considered, even in the absence of jaundice or meningitis, especially if there is a history of contact with carrier animals.

Keywords

Child Intensive care unit Leptospirosis and renal failure 

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Copyright information

© IPNA 2007

Authors and Affiliations

  • Paulo Sérgio Lucas da Silva
    • 1
    • 3
    Email author
  • Rubens Wolfe Lipinski
    • 1
  • Roberta Penha Paiva Magalhães
    • 1
  • Eliete Calo Romero
    • 2
  1. 1.Pediatric Intensive Care Unit, Department of PediatricsHospital do Servidor Público MunicipalSão PauloBrazil
  2. 2.Department of Medical BiologyAdolfo Lutz InstituteSão PauloBrazil
  3. 3.São PauloBrazil

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