A 40-year-old paddy farmer presented with fever, chills, headache and myalgias for 2 days. The patient also complained of acute onset of cough, shoness of breath and few episodes of hemoptysis. On examination, scleral icterus was present. There is a history of minor lower limb injury while working in the fields, which were infested with rats. Lab findings revealed anemia, leukocytosis, deranged RFTs, prolonged PT and aPTT, increased serum bilirubin and alkaline phosphatase levels. Blood cultures were collected. Dark field microscopy and cultures were done. MAT test was also done. Which electrolyte will be most likely seen in the above condition: -
This is a case of Weil's syndrome/ Leptospira infection. Presents with a triad of: - Hemorrhage Acute kidney injury Jaundice Rats are an impoant reservoir. Renal involvement: - Acute tubular damage Interstitial nephritis Non-oliguric hypokalemic injury Hypokalemia and hyponatremia Wasting of magnesium
Hyperkalemia and hyponatremia
Hyperkalemia and hypernatremia
Hypokalemia and hypernatremia
Hypokalemia and hyponatremia
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