Resumen

VALVERDE-JIMENEZ, María De los Ángeles; BRENES-ESQUIVEL, Roberto  y  SEQUEIRO-SOTO, Jorge. Leptospirosis. Acta méd. costarric [online]. 2008, vol.50, n.1, pp.51-54. ISSN 0001-6002.

A case of a 15 year old young man is presented, who consulted at a private hospital for acute fever, initially of unknown origin, associated with mild elevation of transaminases and other unspecific alterations of laboratory tests. He was referred for observation to a Hospital, where he was treated as a case of classic dengue fever. Afier his discharge his case was re-taken by a private practitioner, his diagnosis of leptospirosis was confirmed by the laboratory of the National Leptospirosis Referal Center in the INCIENSA, and he was properly treated with antibiotics until complete resolution of his episode. This article emphasizes the importance of a high level of suspicion, a precise and thorough clinical history, as well as a meticulous physical examination, followed by laboratory evidence, in order to diagnose and treat this illness in a proper way.

Palabras clave : leptospira; Leptospirosis; serology; diagnostic confirmation; Weil disease; fever of unknown origin; Dengue; Dengue hemorrhagic fever.

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