Severe Leptospirosis in a Mexican Woman

Authors

  • Ana Paola Balderrama-Carmona Departamento de Ciencias Quimico Biologicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora
  • Daniel Cadena-Orea Instituto Mexicano del Seguro Social (IMSS). Hospital de Especialidades No. 2 “Lic. Luis Donaldo Colosio”. Cd. Obregon, Sonora
  • Santiago Sanchez-Arteaga Instituto Mexicano del Seguro Social (IMSS). Hospital de Especialidades No. 2 “Lic. Luis Donaldo Colosio”. Cd. Obregon, Sonora
  • Maria Luisa Aguilera-Avila Instituto Mexicano del Seguro Social (IMSS). Hospital de Especialidades No. 2 “Lic. Luis Donaldo Colosio”. Cd. Obregon, Sonora
  • Jose Guadalupe Sonanez-Organis Departamento de Ciencias Quimico Biologicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora
  • Alan Andrei Lopez-Lopez Laboratorio Sonora Labs. Hermosillo, Sonora
  • Luis Alberto Zamora-Alvarez Departamento de Ciencias Quimico Biologicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora
  • Gabriela de los Angeles Diaz-Reyes Departamento de Ciencias Quimico Biologicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora
  • Norma Patricia Adan-Bante Departamento de Ciencias Quimico Biologicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur. Navojoa, Sonora

DOI:

https://doi.org/10.5644/ama2006-124.285

Keywords:

Vector-Borne Disease, Acute Febrile Illness, Leptospirosis, Renal Failure, Borrelia

Abstract

Objective. To describe a severe case of infection by Leptospira in a woman in the northwest of Mexico.

Case report. A 55-yearold woman from Sonora, Mexico arrived at the Intensive Care Unit due to severe multiple organ failure primarily affecting the respiratory, renal and hepatic systems. Diagnostic tests were performed, and they were positive for anti-Leptospira antibodies, IgM and IgG; and spirochetes were observed on dark field microscopy and confirmed by Polymerase Chain Reaction (PCR). Doxycycline and platelet apheresis transfusion were used as treatment, which led to a very slow recovery.

Conclusion. The information presented in this study may help in the identification of pathology caused by spirochetes. This case report is the first to present a case of severe leptospirosis in Sonora, Mexico.

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Published

2020-08-01

How to Cite

Balderrama-Carmona, A. P., Cadena-Orea, D., Sanchez-Arteaga, S., Aguilera-Avila, M. L., Sonanez-Organis, J. G., Lopez-Lopez, A. A., Zamora-Alvarez, L. A., Diaz-Reyes, G. de los A., & Adan-Bante, N. P. (2020). Severe Leptospirosis in a Mexican Woman. Acta Medica Academica, 49(1), 67–70. https://doi.org/10.5644/ama2006-124.285

Issue

Section

Case Presentation