Summary
Although renal failure is an infrequent manifestation of leptospirosis occurring in 10% of cases, it is important because it is the main factor resulting in the overall mortality of 5%.
The prognosis, clinical features, diagnosis, course, management of 10 patients with acute renal failure due to leptospirosis are discussed.
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Bain, B. J., Ribush, N. T., Nicoll, P., Whitsed, H. M. and Morgan, T. O. 1973. Renarl failure and transient paraproteinemia due to leptospira. Arch. Intern. Med. 131, 740.
Barratt-Connor, E., Child, C. M. and Carter, M. J. 1970. Renal failure in leptospirosis. Southern Medical Journal. 63, 580.
De Brito, T., Freymuller, E., Penna, D. O., Santos, H. S., Soares de Almeda, S., Ayrozagalvao, P. A. and Pereira, V. G. 1965. Electron microscopy of the biopsied kidney in human leptospirosis. Amer. J. Trop. Med. 14, 397.
De Brito, T. 1968. On the pathogenesis of hepatic and renal lesions in leptospirosis. Rev. Inst. Med. Trop. S. Paula. 10, 238–241.
Flynn, C. T. 1967. Peritoneal dialysis in hypercatabolic acute renal failure. Lancet i, 1331.
Heath, C. W., Alexander, A. D. and Galton, M. M. 1965. Leptospirosis in the United States. Analysis of 483 cases in 1949–1961. New England J. Medicine. 273, 857.
Kennedy, N. D., Pusey, C. D., Rainford, D. J. and Higgenson, A. 1979. Leptospirosis and acute renal failure in clinical experience and a review of the literature. Post grad. Med. Journal. 55, 176.
Kleinknecht, D., Jungers, P., Chanard, J., Barbanel, C. and Ganeval, D. 1972. Uraemic and non-uraemic complications in acute renal failure: Evaluation of early and frequent dialysis on prognosis. Kidney Int. 1, 190.
Martone, W. J. and Kaufmann, A. F. 1979. Leptospirosis in humans in the United States 1974–1978. J. Infect. Dis. 140–1020.
Parsons, F. M., Hobson, S. M., Blagg, C. R. and McCracker, B. H. 1961. Optimum time for dailysis in acute reversible renal failure. Description and value of an improved dialyser with a large surface area. Lancet i, 129.
Simpson, B., Cook, A. T., Dimond, A. H., Brown, M. and Thin, R. N. T. 1967. Renal function after Leptospirosis. Brit. Med. J. iii, 472.
Sitzpriza, V. and Evans, H. 1970. The kidney human leptospirosis. Ann. J. Med. 49, 780.
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Walker, J.F., Walsh, J., Cronin, C.J. et al. Acute renal failure in leptospirosis. I.J.M.S. 150, 187–189 (1981). https://doi.org/10.1007/BF02938231
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DOI: https://doi.org/10.1007/BF02938231