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A CASE OF LEPTOSPIRA INFECTION COMPLICATED BY ACUTE RENAL FAILURE AND BRADYARRHYTHMIA
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Abstract
We report a case of a 9-year-old male patient with Leptospira infection complicated by acute renal failure and bradyarrhythmia, diagnosed and treated at the Department of General Internal Medicine, Hanoi Children's Hospital. The patient, residing in Hanoi, presented with bradycardia, edema, hematuria, hypertension, and signs of renal failure. Upon taking the medical history, we discovered that the patient lived in a household with many domestic animals, including dogs, cats, and notably, white rats. Laboratory tests confirmed Leptospira as the causative agent. The patient was diagnosed with acute renal failure and bradyarrhythmia due to Leptospira infection. He was treated with Doxycycline and supportive therapies. After 7 days of treatment, the patient's symptoms improved, with no further signs of arrhythmia or renal dysfunction. The patient was discharged and scheduled for outpatient follow-up.
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Keywords
Leptospira infection, acute renal failure, cardiac arrhythmia
References
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