On July 30, information from the Central Hospital for Tropical Diseases, the hospital has just successfully treated a case of serious Leptospira torsion infection, causing liver failure and acute kidney failure, threatening life. The patient was admitted to the hospital with high fever, jaundice, multiple organ failure, and had to steep himself with sharp stones while wading in the fields.
About 20 days before being admitted to the hospital, the patient's leg was punctured by stepping on a sharp rock while making dirt. Despite the open wound, the patient only received first aid through a loudspeaker and continued working. 8 days later, he started a high fever of 39°C, was tired and was treated at the district hospital but did not improve. After that, despite being transferred to the provincial hospital and taking antibiotics, symptoms such as jaundice, small urine, and poor appetite continued to worsen, forcing him to be transferred to the Central Hospital for Tropical Diseases in critical condition.
According to Dr. Dao Thanh Hai, Department of General Infections), the patient was admitted to the hospital in a state of exhaustion, difficulty breathing, severe jaundice, and signs of liver failure - acute kidney failure. The patient underwent emergency blood filtration and was diagnosed with Leptospira sepsis causing liver-dialysis syndrome.
After 5 days of active treatment, the patient had a fever, inflammation index decreased, jaundice improved but still needed prolonged monitoring and treatment due to liver and kidney damage that had not fully recovered.
Doctor Nguyen Hong Long - Deputy Head of the General Infection Department - warned: Leptospira is a type of spore that can enter the body through scratched skin or mucous membranes when exposed to water, soil or mud contaminated with animal urine, especially mice.
liver damage caused by this bacteria damages liver cells, leading to jaundice. At the same time, it also destroys the renal Tube, causing hyper urea, created blood, little urine or Urinary tract factors that can lead to death if not treated promptly.
Leptospira has long existed in freshwater and moist soil, often appearing in tropical climates such as Vietnam, especially during the rainy and flood season.
The rainy season is when Leptospira broke out due to an environment prone to pollutation by rat urine and animal waste from floodwaters. People with open wounds or contact with dirty water without adequate protection are susceptible to disease.
To prevent this, experts recommend that people wear boots and gloves when working in the fields, clean thoroughly after work, and disinfect wounds. When symptoms such as high fever, jaundice, and small urine appear after contact with dirty water, it is necessary to go to a medical facility early for timely treatment to avoid dangerous complications.
