ArticleEuropean journal of case reports in internal medicine2016
A Rare Presentation of Leptospirosis.
Article in European journal of case reports in internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 3 citations in OpenAlex.
- Leptospirosis: a neglected tropical zoonotic infection of public health importance-an updated review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020Review
- Atypical Renal Presentation in Severe Leptospirosis.Kidney international reports · 2019Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
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Abstract
Leptospirosis has a wide spectrum of clinical manifestations. Acute renal failure, an important complication, generally involves interstitial and tubular damage. We describe the case of a 42-year-old man who was admitted with fever, back pain and periorbital oedema. He had hypertension, thrombocytopenia, acute renal failure, hypoalbuminaemia, hypertriglyceridaemia and proteinuria >4.00 g/l. The renal biopsy showed mesangioproliferative glomerulonephritis. Due to the epidemiological context and clinical picture, ceftriaxone was started with rapid clinical improvement. Blood PCR for leptospira came back positive. The presentation of leptospirosis as nephrotic syndrome is rare and this diagnosis should be considered before performing a renal biopsy. LEARNING POINTS: Leptospirosis is a zoonosis with a wide spectrum of clinical manifestations including acute renal failure, which is an important complication.Leptospirosis should be considered in a patient with nephrotic syndrome and acute renal failure if the epidemiological context is favourable.Leptospirosis is one of the causes of nephrotic syndrome where a renal biopsy is not indicated.
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