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CASE REPORT
Year : 2015  |  Volume : 4  |  Issue : 3  |  Page : 181-184

Coexisting anicteric leptospirosis and pulmonary tuberculosis in a farmer


1 Department of Internal Medicine, Pondicherry Institute of Medical Sciences, Kalapet, India
2 Department of General Medicine, Indira Gandhi Medical College and Research Institute, Kadirkamam, Pondicherry, India

Correspondence Address:
Stalin Viswanathan
Department of General Medicine, Indira Gandhi Medical College and Research Institute, Kadirkamam, Pondicherry - 605 009
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-344X.160896

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Leptospirosis and tuberculosis (TB) are widely prevalent in the tropics, with the former presenting acutely ranging from a flu-like illness to severe hepatorenal dysfunction (Weil's disease) and hemorrhage. TB is a smoldering illness, which rarely presents acutely as community-acquired pneumonia or acute lung injury. We present a 35-year-old farmer who had acute onset breathlessness and oliguria following a short febrile illness, which required mechanical ventilation and renal replacement therapy. His diagnostic workup revealed concomitant pulmonary TB and anicteric leptospirosis which improved with appropriate antibiotics and supportive care.


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