A first report of leptospirosis after liver transplantation

Transpl Infect Dis. 2016 Feb;18(1):137-40. doi: 10.1111/tid.12490. Epub 2016 Jan 30.

Abstract

Leptospirosis has been rarely reported in solid organ transplant recipients. We report the first case to our knowledge of leptospirosis in a liver transplant recipient who developed jaundice and renal insufficiency. We describe his favorable clinical progression and discuss the possible mechanisms involved in the more benign disease course. We also review the previously published cases of leptospirosis in solid organ transplant recipients. Although this disease does not appear to present any particularities in this context, we highlight the importance of clinical suspicion in this setting, particularly after liver transplantation.

Keywords: Weil's disease; leptospirosis; liver transplantation; solid organ transplantation.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / drug therapy*
  • Anti-Bacterial Agents / therapeutic use*
  • Humans
  • Jaundice / microbiology
  • Leptospira / isolation & purification*
  • Leptospirosis / diagnosis*
  • Leptospirosis / microbiology
  • Liver Transplantation / adverse effects*
  • Male
  • Middle Aged

Substances

  • Anti-Bacterial Agents