Two Patients Who Developed Leptospirosis-Associated Acute Renal Failure within the Same Season
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概要
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In the autumn two patients with general malaise were consecutively admitted to the department of internal medicine of our hospital in the northern region of Nagasaki Prefecture. Since both patients were engaged in rice farm work and showed conjunctival suffusion and pain of the gastrocnemius muscle, leptospirosis was suspected. The first patient required temporary hemodialysis for renal dysfunction, whereas liver dysfunction developed in the second patient. The disease was remitted by antimicrobial agents. A diagnosis of leptospiro sis was made serologically in both patients. Leptospirosis should be considered as a differential diagnosis when a patient engaged in farm work in the autumn has typical symptoms, and an early initiation of treatment after onset is important.
著者
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Miyazaki Masanobu
Miyazaki clinic
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KOIZUMI Nobuo
Department of Bacteriology I, National Institute of Infectious Diseases
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Furusu Akira
The Second Department of Internal Medicine
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Hirakata Yoichi
Department Of Clinical Laboratory Medicine Nagasaki University School Of Medicine
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Kohno Shigeru
The Scientific Assembly For Infection And Tuberculosis Of The Japanese Respiratory Society
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Yamashita Hiroshi
The Second Department Of Internal Medicine 1university Of Tokyo
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Ishino Tohru
Hokushou Central Hospital
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Nishino Tomoya
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Obata Yoko
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Ichinose Hiroshi
Hokushou Central Hospital
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Higashiyama Yasuhito
Hokushou Central Hospital
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Hirakata Yoichi
Department of Clinical Microbiology with Epidemiological Research & Management and Analysis of Infectious Diseases, Tohoku University Graduate School of Medicine
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Furusu Akira
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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