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Icteric leptospirosis (Weil’s syndrome) characteristically involves the liver and kidney along with vascular dysfunction.[1] It is associated with high bilirubin levels of up to 80 mg/dl as reported in some… Click to show full abstract
Icteric leptospirosis (Weil’s syndrome) characteristically involves the liver and kidney along with vascular dysfunction.[1] It is associated with high bilirubin levels of up to 80 mg/dl as reported in some cases.[1] Transaminases are usually moderately elevated and SGOT: SGPT ratio of >3 predicts poor prognosis.[2] Urea and creatinine are in the range of 100– 300 mg/dl and 2–8 mg/dl, respectively.[1] Microagglutination test is the confirmatory test;[3] fourfold increase in titers indicates leptospirosis infection.[1] Doxycycline and ampicillin are recommended for mild leptospirosis; cefotaxime and ceftriaxone for severe leptospirosis.
Journal Title: Saudi Journal of Anaesthesia
Year Published: 2022
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