Sarilik, akut böbrek yetmezligi ve trombositopenili bir olgu; Weil hastaligi
A case with jaundice, acute renal failure and thrombocytopenia: Weil’s disease
Özet
Leptospirozis dünyada sik görülen bir zoonozdur. Özellikle tropikal bölgelerde daha sik görülmektedir. Ülkemizde görülme sikligi konusunda yeterli veri bulunmamaktadir. Leptospirozisli hastalarin %90’inda hafif sariliksiz form görülürken hastalarin yaklasik % 5-10’unda ates, sarilik, kanamaya egilim ve fulminan hepatorenal yetmezlikle seyreden ve Weil hastaligi olarak adlandirilan siddetli formda görülür. Biz bu olgumuzda direk hiperbilirubinemi, akut böbrek yetmezligi, trombositopeni ile basvuran ve Weil hastaligi tanisi alan hastamizi sunduk.
Abstract
Leptospirosis is a commonly encountered type of zoonosis throughout the world. This infection is especially more common in tropical regions. There is insufficient data about its frequency in our country. Though leptospirosis presents with a mild icteric form in nearly 90% of cases, it leads to Weil’s disease characterized by fever, jaundice, tendency to bleeding and fulminant hepatorenal failure in approximately 10% of infected persons. Herein we report a case of Weil's disease, presenting with acute renal failure, jaundice and thrombocytopenia.
