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Arch Hellen Med, 33(6), November-December 2016, 834-836


A case of leptospirosis with reversible pancytopenia

A. Aristodimou,1 C. Bikis,2 N. Spernovasilis,2 A. Gikas,1 D. Kofteridis1
1Department of Internal Medicine- Unit of Infectious Diseases, "PAGNI" University General Hospital of Heraklion, Heraklion, Crete
2Department of Internal Medicine, "PAGNI" University General Hospital of Heraklion, Heraklion, Crete, Greece

Pancytopenia is a very rare manifestation of leptospirosis but it is alarming as it can be accompanied by other potentially fatal complications such as pulmonary hemorrhage, myocarditis and acute respiratory distress syndrome (ARDS). The case is presented of a 37-year-old male with leptospirosis presenting with fever, diarrhea and vomiting, complicated on the second day after admission by pancytopenia. The patient was treated with ceftriaxone and was discharged after 14 days in good clinical condition, with almost complete restoration of hematological and biochemical parameters.

Key words: Leptospirosis, Pancytopenia, Thrombocytopenia.

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