Fulminant Postpartum Weil's Syndrome Presenting with Refractory Seizures and Multiorgan Failure: A Case Report and Critical Care Management.

Namitha Mariam Lal, Ankur Khandelwal, Neingutso Lomi, Dharitri Dutta, Subham Das, Daisy Hazarika

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Review in Nigerian medical journal : journal of the Nigeria Medical Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Namitha Mariam LalDepartment of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, Silbharal, Changsari, Guwahati, Assam, Pin: 781101, India.

Ankur KhandelwalDepartment of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, Silbharal, Changsari, Guwahati, Assam, Pin: 781101, India.

Neingutso LomiDepartment of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, Silbharal, Changsari, Guwahati, Assam, Pin: 781101, India.

Dharitri DuttaDepartment of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, Silbharal, Changsari, Guwahati, Assam, Pin: 781101, India.

Subham DasDepartment of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, Silbharal, Changsari, Guwahati, Assam, Pin: 781101, India.

Daisy HazarikaDepartment of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, Silbharal, Changsari, Guwahati, Assam, Pin: 781101, India.

Funding

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6 · The paper itself

Abstract

Leptospirosis is a globally prevalent zoonotic infection with protean manifestations, while severe disease (Weil's syndrome) is uncommon and rarely reported in the postpartum period, where it can closely mimic obstetric emergencies. We report a rare case of severe postpartum leptospirosis complicated by sudden-onset seizures and multiorgan failure. A 32-year-old woman developed generalized tonic-clonic seizures two hours after vaginal delivery, followed by septic shock, hyperpyrexia, refractory seizures, acute liver failure, acute kidney injury, coagulopathy, and stress-induced cardiomyopathy. Initial differentials included obstetric catastrophes such as eclampsia, acute fatty liver of pregnancy, and amniotic fluid embolism. Diagnosis was supported by a positive

Indexed as

HyperpyrexialeptospirosispostpartumseizuresWeil’s syndrome

Identifiers

PMID42605452

PMCPMC13477694

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