Abstract
We present a rare severe leptospirosis in a patient who presented with fever, jaundice, coagulopathy and intrauterine fetal demise. Possibility of leptospirosis should be kept in an obstetric patient with such clinical profile particularly in endemic areas or if there is recent outbreak of disease.
References
Rao RS, Gupta N, Bhalla P, Agarwal SK (2003) Leptospirosis in India and rest of the world. Braz J Infect Dis 7(3):178–193
Bal AM (2005) Unusual clinical manifestations of leptospirosis. J Postgrad Med 51(3):179–183
Shaked Y, Shpilberg O, Samra D (1993) Leptospirosis in pregnancy and its effects on the Fetus: case report and review. Clin Infect Dis 17:241–243
Carles G, Montoya E, Joly F, Peneau C (1995) Leptospirosis and pregnancy. Eleven cases in French Guyana. J Gynecol Obstet Biol Reprod 24(4):418–421
Gaspari R, Annetta MG, Cavaliere F et al (2007) Unusual presentation of leptospirosis in the late stage of pregnancy. Minerva Anestesiol 73(7–8):429–432
Karande S, Gandhi D, Kulkarni M et al (2005) Concurrent outbreak of leptospirosis and dengue in Mumbai, India, 2002. J Trop Pediatr 51:174–181
Watt G, Padre LP, Tuazon ML et al (1988) Placebo controlled trial of intravenous penicillin for severe and late leptospirosis. Lancet 1:433–435
Dursun B, Bostan F, Artac M, Varan HI, Suleymanlar G (2007) Severe pulmonary haemorrhage accompanying hepatorenal failure in fulminant leptospirosis. Int J Clin Pract 61(1):164–167
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Gainder, S., Singla, R., Dhaliwal, L. et al. Leptospirosis as a cause of intrauterine fetal demise: short report of rare presentation. Arch Gynecol Obstet 281, 1061–1063 (2010). https://doi.org/10.1007/s00404-009-1266-y
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DOI: https://doi.org/10.1007/s00404-009-1266-y