Fulminant Leptospirosis: an autopsy case

Leptospirosis is an acute febrile illness affecting humans and/or animals, with a high global incidence mainly in the tropical developing countries. Outbreaks are frequently related to rainy season, floods and the presence of reservoirs animals more commonly rodents and dogs. The disease occurs in t...

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Main Authors: Fernando Peixoto Ferraz de Campos, Angélica Braz Simões
Format: Article
Language:English
Published: University of São Paulo 2011-06-01
Series:Autopsy and Case Reports
Subjects:
Online Access:http://www.revistas.usp.br/autopsy/article/view/36416
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author Fernando Peixoto Ferraz de Campos
Angélica Braz Simões
author_facet Fernando Peixoto Ferraz de Campos
Angélica Braz Simões
author_sort Fernando Peixoto Ferraz de Campos
collection DOAJ
description Leptospirosis is an acute febrile illness affecting humans and/or animals, with a high global incidence mainly in the tropical developing countries. Outbreaks are frequently related to rainy season, floods and the presence of reservoirs animals more commonly rodents and dogs. The disease occurs in the rural and urban areas linked to some occupational and recreational activities. The younger population is at higher risk of infection. Approximately 5% - 15% of the patients develop the severe manifestations of the disease known as Weill’s disease that can be associated with leptospirosis pulmonary hemorrhage syndrome. We present an autopsy case of an octogenarian patient, resident of the urban area of the city of São Paulo, admitted to the Hospital Universitário da Universidade de São Paulo, who presented a fulminant outcome. The autopsy revealed pulmonary involvement characterized by diffuse alveolar hemorrhage and interstitial mononuclear infiltration. The liver histology presented disorganization of the liver cell plates, congested sinusoids and Kupfer cells hyperplasia. Acute tubular necrosis and interstitial nephritis was the hallmark of kidneys involvment.
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spelling doaj.art-159a153419a14619bd698e0e19a7faec2022-12-21T18:49:06ZengUniversity of São PauloAutopsy and Case Reports2236-19602011-06-011210.4322/acr.2016.00436324Fulminant Leptospirosis: an autopsy caseFernando Peixoto Ferraz de CamposAngélica Braz SimõesLeptospirosis is an acute febrile illness affecting humans and/or animals, with a high global incidence mainly in the tropical developing countries. Outbreaks are frequently related to rainy season, floods and the presence of reservoirs animals more commonly rodents and dogs. The disease occurs in the rural and urban areas linked to some occupational and recreational activities. The younger population is at higher risk of infection. Approximately 5% - 15% of the patients develop the severe manifestations of the disease known as Weill’s disease that can be associated with leptospirosis pulmonary hemorrhage syndrome. We present an autopsy case of an octogenarian patient, resident of the urban area of the city of São Paulo, admitted to the Hospital Universitário da Universidade de São Paulo, who presented a fulminant outcome. The autopsy revealed pulmonary involvement characterized by diffuse alveolar hemorrhage and interstitial mononuclear infiltration. The liver histology presented disorganization of the liver cell plates, congested sinusoids and Kupfer cells hyperplasia. Acute tubular necrosis and interstitial nephritis was the hallmark of kidneys involvment.http://www.revistas.usp.br/autopsy/article/view/36416LeptospirosisWeil’s diseaseRespiratory InsufficiencyAcute renal.
spellingShingle Fernando Peixoto Ferraz de Campos
Angélica Braz Simões
Fulminant Leptospirosis: an autopsy case
Autopsy and Case Reports
Leptospirosis
Weil’s disease
Respiratory Insufficiency
Acute renal.
title Fulminant Leptospirosis: an autopsy case
title_full Fulminant Leptospirosis: an autopsy case
title_fullStr Fulminant Leptospirosis: an autopsy case
title_full_unstemmed Fulminant Leptospirosis: an autopsy case
title_short Fulminant Leptospirosis: an autopsy case
title_sort fulminant leptospirosis an autopsy case
topic Leptospirosis
Weil’s disease
Respiratory Insufficiency
Acute renal.
url http://www.revistas.usp.br/autopsy/article/view/36416
work_keys_str_mv AT fernandopeixotoferrazdecampos fulminantleptospirosisanautopsycase
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