id author title date pages extension mime words sentences flesch summary cache txt cord-023169-obupqcua Chierakul, Wirongrong Leptospirosis 2013-10-21 .txt text/plain 4982 318 41 The severe illness, characterized by febrile illness with jaundice, acute renal injury and bleeding, is recognized as Weil's disease, though many different local names have been used such as Fort Bragg, mud, swamp and sugar cane fevers. Complications such as cholestatic jaundice, aseptic meningitis, acute renal injury, haemorrhage especially in the lung and myocarditis can occur and lead to a fatal outcome. 24 Complications such as jaundice, acute renal injury, haemorrhage, especially pulmonary haemorrhage, aseptic meningitis, myocarditis, shock, occur early during the course of illness. Acute pancreatitis has been reported rarely, although serum amylase may be raised in up to 60% of patients with severe disease due to renal impairment. Nowadays, the term 'Weil's syndrome' usually refers to the extremely severe form of leptospirosis, characterized by the combination of jaundice, renal dysfunction, and haemorrhagic diathesis, especially pulmonary haemorrhage. Acute febrile illness accompanied by jaundice and renal failure should always include leptospirosis in the differential diagnosis. ./cache/cord-023169-obupqcua.txt ./txt/cord-023169-obupqcua.txt