leptospirosis mimicking collagen vascular disease in a thirteen-year-old iranian girl

نویسندگان

alireza nateghian department of pediatrics, iran university of medical sciences, tehran, ir iran; ped. id division, ali asghar children hospital, iran university of medical sciences, tehran, ir iran. tel.: +98-2122222041, fax: +98-2122220063

soudabeh hoseini ali asghar children hospital, iran university of medical sciences, tehran, ir iran

amin lavasani department of pediatrics, iran university of medical sciences, tehran, ir iran

چکیده

a thirteen-year-old girl from dezfoul, iran was referred to our hospital with a history of eight days of high fever, headache, odynophagia, diffuse abdominal and body pain especially limb pain. she then developed conjunctival erythema, transient maculopapular rash on the trunk and also diplopia. no obvious or specific point was shown in the history. in the lab studies, she had very high sedimentation rate (esr), bandemia and leukocytosis and thrombocytosis with negative results for an array of infectious diseases. before making a vasculitis diagnosis a microscopic agglutination test for leptospira and then pcr test in blood and stool were requested and revealed to be positive for leptospira. she responded to doxycycline and remained well after one year of follow-up. leptospirosis should be considered in differential diagnosis of vasculitic syndromes in iran even for patients from seemingly non-enzootic areas.

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عنوان ژورنال:
archives of clinical infectious diseases

جلد ۷، شماره ۲، صفحات ۶۹-۷۱

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