Leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas
This is the case of a 50-year-old male from the region of Urabá, Colombia, with a mixed infection by Rickettsia rickettsii and Leptospira interrogans serovar Copenhageni ST78 and negative test for malaria and dengue fever. The patient presented with febrile syndrome and was unresponsive to systemic...
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Instituto Nacional de Salud
2021
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372841/ http://www.ncbi.nlm.nih.gov/pubmed/34214261 https://doi.org/10.7705/biomedica.5598 |
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ftpubmed:oai:pubmedcentral.nih.gov:8372841 2023-05-15T18:05:17+02:00 Leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas Ramírez-García, René Quintero, Juan Carlos Rosado, Aixa Paola Arboleda, Margarita González, Víctor Alejandro Agudelo-Flórez, Piedad 2021-06-15 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372841/ http://www.ncbi.nlm.nih.gov/pubmed/34214261 https://doi.org/10.7705/biomedica.5598 en eng Instituto Nacional de Salud http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372841/ http://www.ncbi.nlm.nih.gov/pubmed/34214261 http://dx.doi.org/10.7705/biomedica.5598 https://creativecommons.org/licenses/by/4.0/Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons CC-BY Biomedica Reporte De Caso Text 2021 ftpubmed https://doi.org/10.7705/biomedica.5598 2021-08-22T00:47:23Z This is the case of a 50-year-old male from the region of Urabá, Colombia, with a mixed infection by Rickettsia rickettsii and Leptospira interrogans serovar Copenhageni ST78 and negative test for malaria and dengue fever. The patient presented with febrile syndrome and was unresponsive to systemic antibiotic treatment, who finally died in the intensive care unit. We established the postmortem diagnosis through molecular typification of the two etiological agents. In the inspection at the patient’s home, we found a Rattus rattus specimen infected with L. interrogans of the same serovar found in him. We found no ticks parasitizing the domestic animals cohabitating with the patient. This case of a mixed infection with progressive and fatal symptoms in a patient with occupational risk in a tropical disease endemic zone highlights the importance of considering the potential presentation of simultaneous etiologies in patients with multiple medical visits for unresolved febrile syndromes associated with risky exposure during agricultural activities. Text Rattus rattus PubMed Central (PMC) Biomédica 41 2 208 217 |
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Reporte De Caso Ramírez-García, René Quintero, Juan Carlos Rosado, Aixa Paola Arboleda, Margarita González, Víctor Alejandro Agudelo-Flórez, Piedad Leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas |
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Reporte De Caso |
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This is the case of a 50-year-old male from the region of Urabá, Colombia, with a mixed infection by Rickettsia rickettsii and Leptospira interrogans serovar Copenhageni ST78 and negative test for malaria and dengue fever. The patient presented with febrile syndrome and was unresponsive to systemic antibiotic treatment, who finally died in the intensive care unit. We established the postmortem diagnosis through molecular typification of the two etiological agents. In the inspection at the patient’s home, we found a Rattus rattus specimen infected with L. interrogans of the same serovar found in him. We found no ticks parasitizing the domestic animals cohabitating with the patient. This case of a mixed infection with progressive and fatal symptoms in a patient with occupational risk in a tropical disease endemic zone highlights the importance of considering the potential presentation of simultaneous etiologies in patients with multiple medical visits for unresolved febrile syndromes associated with risky exposure during agricultural activities. |
format |
Text |
author |
Ramírez-García, René Quintero, Juan Carlos Rosado, Aixa Paola Arboleda, Margarita González, Víctor Alejandro Agudelo-Flórez, Piedad |
author_facet |
Ramírez-García, René Quintero, Juan Carlos Rosado, Aixa Paola Arboleda, Margarita González, Víctor Alejandro Agudelo-Flórez, Piedad |
author_sort |
Ramírez-García, René |
title |
Leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas |
title_short |
Leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas |
title_full |
Leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas |
title_fullStr |
Leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas |
title_full_unstemmed |
Leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas |
title_sort |
leptospirosis y rickettsiosis, reto diagnóstico para el síndrome febril en zonas endémicas |
publisher |
Instituto Nacional de Salud |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372841/ http://www.ncbi.nlm.nih.gov/pubmed/34214261 https://doi.org/10.7705/biomedica.5598 |
genre |
Rattus rattus |
genre_facet |
Rattus rattus |
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Biomedica |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372841/ http://www.ncbi.nlm.nih.gov/pubmed/34214261 http://dx.doi.org/10.7705/biomedica.5598 |
op_rights |
https://creativecommons.org/licenses/by/4.0/Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.7705/biomedica.5598 |
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Biomédica |
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41 |
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2 |
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208 |
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217 |
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