Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2013
Practice Guideline[Guidelines for perioperative haemodynamic optimization].
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Ann Fr Anesth Reanim · Jun 2013
Review Case Reports[Fever and jaundice... and if it was a leptospirosis. About a case of L. interrogans Icterohaemorrhagiae in Northern France].
Leptospirosis is an anthropozoonose, an animal disease transmissible to humans, caused by a spirochete of the genus Leptospira that lives mainly among rodents but also in wetlands. It occurs worldwide, particularly in Asia, Latin America and Africa. In Europe, the incidence is small (except in France and Great Britain, where its frequency has increased in recent years) but the frequency may be underestimated. ⋯ However 5-10% of symptomatic patients have a severe multisystem defaillance. Nearly a century after the discovery of the causative agent, this zoonosis remains a public health problem, zoonosis priority in terms of virulence, its reporting is mandatory in our country. We report the case of a severe form of hepatonephritis due to water contaminated with Leptospira observed in Northern France.