Myocarditis and septic shock as early manifestation of leptospirosis: Case report.
Eunike Vania Christabel, Fahmi Adnan Musthofa, Reza Ferizal et al.
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Case in brief
A patient presented with myocarditis and septic shock during the acute phase of leptospirosis, a condition typically characterized by a biphasic course. This case highlights the unusual early onset of severe complications, which are generally expected in the immune phase. The patient's condition was managed effectively, leading to recovery.
What made this case unusual
The occurrence of myocarditis and septic shock during the acute phase of leptospirosis is atypical, as severe manifestations usually arise later in the disease course.
Diagnostic / clinical pearl
Clinicians should be aware that leptospirosis can present with severe complications like myocarditis and septic shock early in the disease, rather than only during the immune phase.
Why it matters
Recognizing the potential for early severe manifestations in leptospirosis can lead to timely diagnosis and management, improving patient outcomes.