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Schwerer Verlauf einer Leptospirose mit akutem Nierenversagen und ausgeprägtem Ikterus (Morbus Weil) [A severe course of leptospirosis with acute kidney failure and extensive icterus (Weil disease)]

URN to cite this document:
Notheis, W. F. ; Krämer, Bernhard K. ; Leser, H. G. ; Rüschoff, J. ; Kromer, E. P. ; Riegger, A. J.
Date of publication of this fulltext: 08 Sep 2011 06:13


A 77-year-old man developed a fever up to 38.4 degrees C, with diarrhoea, acute renal failure (creatinine up to 8.7 mg/dl; urea up to 308 mg/dl) and marked jaundice (total bilirubin up to 24.3 mg/dl). In addition there was thrombocytopenia, conjunctivitis and epistaxis, as well as cerebral symptoms with somnolence and general slowing up. At first he was thought to have cholangitis resulting from ...


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