Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 17 , ISSUE 1 ( February, 2013 ) > List of Articles

CASE REPORT

Multivisceral organ failure related to leptospirosis in pregnant patient

Sbai Hicham, Mellouki ihsane, El Bouazzaoui Abderahim, Boukatta Brahim, Smail Labib, Harrandou Mustapha, Khatouf Mohamed, Ibrahimi Adil, Melhouf Abdelilah, Kanjaa Nabil

Keywords : Diagnosis, leptospirosis, pregnancy, prognosis, reanimation

Citation Information : Hicham S, ihsane M, Abderahim EB, Brahim B, Labib S, Mustapha H, Mohamed K, Adil I, Abdelilah M, Nabil K. Multivisceral organ failure related to leptospirosis in pregnant patient. Indian J Crit Care Med 2013; 17 (1):43-45.

DOI: 10.4103/0972-5229.112143

License: CC BY-ND 3.0

Published Online: 01-02-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Leptospirosis is the most widespread zoonosis in the world. It is caused by pathogenic leptospira infection. This infection is also an uncommon cause of hepatorenal failure. Indeed, hemolysis, elevated liver enzyme levels and low platelet count syndrome, and acute fatty liver of pregnancy are specific to the pregnant state. Leptospirosis is rarely described in pregnancy; it might mimic puerperal sepsis or hepatorenal failure associated with pregnancy induced hypertension. We report a case of leptospirosis presenting as multiple organ failure during third trimester of pregnancy with a good outcome.


PDF Share
  1. Chawla V, Trivedi TH, Yeolekar ME. Epidemic of leptospirosis. J Assoc Physicians India 2004;52:1010-1.
  2. Bharti AR, Nally JE, Ricaldi JN, Matthias MA, Diaz MM, Lovett MA, et al. Leptospirosis: A zoonotic disease of global importance. Lancet Infect Dis 2003;3:757-71.
  3. Jaureguiberry S, Roussel M, Brinchault-Rabin G, Gacouin A, LeMeur A, Arvieux C, et al. Clinical presentation of leptospirosis: A retrospective study of 34 patients. Clin Microbiol Infect 2005;11:391-4.
  4. Gaspari R, Annetta MG, Cavaliere F, Pallavicini F, Proietti R, Grillo R, et al. Unusual presentation of leptospirosis in the late stage of pregnancy. Minerva Anestesiol 2007;73:429-32.
  5. Vieira SR, Brauner JS. Leptospirosis as a cause of acute respiratory failure: Clinical features and outcome in 35 critical care patients. Braz J Infect Dis 2002;6:135-9.
  6. Baytur YB, Lacin S, Koyuncu FM, Cabuk M, Ceylan C, Kandiloglu AR. Weil′s syndrome in pregnancy. Eur J Obstet Gynecol Reprod Biol 2005;119:132-3.
  7. Ch′ng CL, Morgan M, Hainsworth I, Kingham JG. Prospective study of liver dysfunction in pregnancy in southwest Wales. Gut 2002;51:876-80.
  8. Pereira SP, O′Donohue J, Wendon J, Williams R. Maternal and perinatal outcome in severe pregnancy-related liver disease. Hepatology 1997;26:1258-62.
  9. Gainder S, Singla R, Dhaliwal L, Suri V. Leptospirosis as a cause of intrauterine fetal demise: Short report of rare presentation. Arch Gynecol Obstet 2010;281:1061-3.
  10. Siriwanij T, Suttinont C, Tantawichien T, Chusil S, Kanjanabuch T, Sitprija V. Haemodynamics in leptospirosis: Effects of plasmapheresis and continuous venovenous haemofiltration. Nephrology (Carlton) 2005;10:1-6.
  11. Panaphut T, Domrongkitchaiporn S, Thinkamrop B. Prognostic factors of death in leptospirosis: A prospective cohort study in Khon Kaen, Thaïland. Int J Infect Dis 2002;6:52-9.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.