The farmer who didn't need a wheel barrow | Zendy

Willibald Hochholzer | Zendy; Christina Orasch | Zendy; S. J. Huber | Zendy; Christian Arranto | Zendy; Sabina Hunziker | Zendy

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The farmer who didn't need a wheel barrow

Author(s) -

Willibald Hochholzer,

Christina Orasch,

S. J. Huber,

Christian Arranto,

Sabina Hunziker

Publication year - 2009

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr.01.2009.1437

Subject(s) - leptospirosis , signs and symptoms , medicine , intensive care medicine , general surgery , surgery , pathology

We report the difficulties encountered in diagnosing leptospirosis in an 85-year-old man who presented with non-specific signs and symptoms. Initially, a wide haematologic and oncologic work-up without significant results was performed, as symptoms of several organ dysfunctions emerged and the clinical course showed a rapid deterioration. After several days without a definite diagnosis, the infection was finally detected after reviewing all results and considering the patient's profession as a farmer. After receiving appropriate antibiotic treatment the patient recovered fully.

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