Fulminant XXXX (Weil's disease) in an urban setting as an overlooked cause of @entity177 : a case report.

@entity1 @entity295 @entity2926 @entity221 @entity177 @entity683 @entity230 @entity166
INTRODUCTION: @entity2926 has recently come to international attention as a globally important re-emerging @entity166 . Our case is unusual given the season, location and setting in which @entity2926 occurred. According to the New York City Board of Health, there were only two other cases of @entity2926 in New York City in the year that our @entity1 was diagnosed. CASE PRESENTATION: A 49-year-old healthy Chinese @entity1 presented to our hospital with @entity295 and @entity177 . The @entity1 did not respond to antibiotics and his @entity177 worsened. His workup did not show any significant findings except for a positive nasopharyngeal swab result for @entity683 . Later the @entity1 developed hemoptysis with evidence of bilateral infiltrates on radiography. His status mildly improved after he was started on @entity230 . Eventually, a microagglutination test confirmed the presence of antibodies against Leptospira icterohaemorrhagiae. The @entity1 subsequently recovered after a course of intravenous antibiotics. CONCLUSION: The case of fulminant @entity2926 presented here should serve to alert health care providers and the general public to the clinical importance of this severe, sometimes fatal, disease. @entity2926 should be considered early in the diagnosis of any @entity1 with acute, non-specific @entity221 with multiorgan system involvement or high fever in a returning traveler. In addition, not only should it be considered in tropical and rural areas between late summer to early fall, but also in any location or time if the risk factors are present.
