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Revista Peruana de Medicina Experimental y Salud Publica

Print version ISSN 1726-4634


HUERTA, Anderson; SALAS, Marcia; YARINSUECA, Jorge  and  MAGUINA, Ciro. Carrión´s disease complicated with severe acute leptospirosis: a case report. Rev. perú. med. exp. salud publica [online]. 2014, vol.31, n.2, pp.380-384. ISSN 1726-4634.

The case of an adult, 56 year old male is reported, from Sihuas (Ancash) who presented at Hospital Nacional Dos de Mayo with fever, jaundice and anemia. In three days of hospitalization, he developed severe anemia (Hb: 11.8 to 6.7 g / dL) and generalized myalgias associated with a sudden worsening jaundice correlated with elevated bilirubin (TB 3.2 to 19.6 mg / dL direct dominance) and general deterioration. Microbiological smear and culture were positive for Bartonella bacilliformis. Subsequent serology (microagglutination) was positive for Lesptospira serovar Pomona. The patient was given specific antibiotic therapy (ceftriaxone and ciprofloxacin), transfused two units of packed red blood cells, improved clinically and was discharged

Keywords : Carrion’s disease; Bartonella bacilliformis; Leptospirosis.

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