Title : A fish farmer's encounter with leptospirosis: A case report
Abstract:
Leptospirosis is a zoonotic bacterial infection primarily caused by Leptospira species. This disease, characterized by a wide range of symptoms, is uncommon in the UK, with an incidence of 0.14 cases per 100,000. This oral presentation is the case of a 56-year-old male fish farmer who arrived at the emergency department with thigh pain, immobility, and symptoms of a flu-like illness, including fever, muscle pain, and dark red urine.
Initial tests revealed renal impairment, metabolic acidosis, hepatitis, thrombocytopenia, and inflammatory markers suggestive of severe sepsis. Early diagnosis of leptospirosis was made through clinical history and blood tests, leading to prompt treatment with intravenous ceftriaxone and rehydration. The patient's condition improved rapidly, and subsequent tests confirmed the diagnosis.
This case highlights the importance of clinical history, particularly occupational exposure, in diagnosing leptospirosis. It underscores the need for low clinical thresholds for this disease, as rapid deterioration can occur without timely intervention.
