Fann et al reported factors predictive of mortality in a patient with leptospirosis. This can help to identify a patient who may benefit from more aggressive management. The authors are from University Tunku Abdul Ruhman and Taiping General Hospital in Malaysia.
Patient selection: resident of a region endemic for leptospirosis
Mortality rate: 14%
Risk factors for mortality:
(1) age >= 70 years
(2) one or more organ dysfunctions (renal, respiratory, hepatic, CNS)
(3) admission to the ICU
In addition, co-infection with another organism (malaria, dengue, scrub typhus, etc) is relatively common.
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