A Case of Leptospirosis with Acute Kidney Failure Accompanied by Fever, Liver Injury and Thrombocytopenia

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  • Ota Naomi
    Department of Kidney Disease and Hypertension, Osaka General Medical Center
  • Warada Aki
    Department of Kidney Disease and Hypertension, Osaka General Medical Center
  • Asaoka Tomohiro
    Department of General Internal Medicine, Osaka General Medical Center
  • Okushima Hiroki
    Department of Kidney Disease and Hypertension, Osaka General Medical Center
  • Iwata Yukimasa
    Department of Kidney Disease and Hypertension, Osaka General Medical Center
  • Shimada Karin
    Department of Kidney Disease and Hypertension, Osaka General Medical Center
  • Mitsumoto Kensuke
    Department of Kidney Disease and Hypertension, Osaka General Medical Center
  • Iio Rei
    Department of Kidney Disease and Hypertension, Osaka General Medical Center
  • Oba Yuichiro
    Department of General Internal Medicine, Osaka General Medical Center
  • Shoji Tatsuya
    Department of Kidney Disease and Hypertension, Osaka General Medical Center
  • Hayashi Terumasa
    Department of Kidney Disease and Hypertension, Osaka General Medical Center

Bibliographic Information

Other Title
  • 発熱，肝障害，血小板減少を伴い急性腎障害をきたしたレプトスピラ症の1例
  • 今月の症例 発熱,肝障害,血小板減少を伴い急性腎障害をきたしたレプトスピラ症の1例
  • コンゲツ ノ ショウレイ ハツネツ,カン ショウガイ,ケッショウバン ゲンショウ オ トモナイ キュウセイジンショウガイ オ キタシタ レプトスピラショウ ノ 1レイ

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Abstract

<p>50歳，男性．発熱，頭痛，関節痛，全身搔痒感及び結膜充血にて来院した．検査の結果，腎障害，肝障害及び血小板減少も来たしていた．職場が魚等を扱う市場であったことからレプトスピラ症を疑い，診断に先行して治療を開始し，改善を得た．発熱性疾患で急性肝・腎障害が合併する症例では，職業歴等も考慮し，レプトスピラ症を念頭に置く必要がある．</p>

Journal

  • Nihon Naika Gakkai Zasshi

    Nihon Naika Gakkai Zasshi 107 (10), 2147-2153, 2018-10-10

    The Japanese Society of Internal Medicine

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