Revista do Instituto de Medicina Tropical de Sao Paulo · 2025
Leptospirosis and coinfections leading to fatal multiple organ and system failure.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Marotto Luiza Schettini, Marotto Marcia Schettini, Barrese Tomás Zecchini, Borges Cinthya Dos Santos Cirqueira, Guerra Juliana Mariotti, Araújo Leonardo José Tadeu de, Ferreira Camila Santos da Silva, Nassar Filho Amir, Marotto Paulo Cesar Fumagalli
Аннотация
Coinfection with leptospirosis and other infectious agents pose major challenges in medical practice, often due to difficulties in isolating these agents, symptoms overlap, and lack of specific investigation protocols in areas with emerging and re-emerging diseases. Consequently, knowledge regarding these coinfections and their impact on clinical outcomes are limited. A previously healthy 33-year-old woman, with no history of chronic or malignance diseases, was admitted with febrile icteric illness, pulmonary hemorrhage, acute kidney injury, thrombocytopenia, and shock. Leptospirosis, COVID-19, human rhinovirus, and dengue in the acute phase were clinically and pathologically diagnosed. Multiple coinfections can rapidly lead to multiple organ and system failure, often resulting in a fatal outcome.