Article: article from journal or magazin.
Les spirochètes dans tous leurs etats [A short journey through spirochetal infections]
Revue Médicale Suisse
Spirochetal infections present with a variety of clinical syndromes and epidemiologic features. Diagnosis remains challenging for the clinician because of the often protean clinical presentation and poor performance of stan-dard microbiological tests. We present 3 clinical cases, illustrating interesting or unusual features of these infections. First, we present a case of leptospirosis acquired in Switzerland after a rat bite. We then present a case of early disseminated Lyme disease with multiple erythema migrans, lymphopenia, thrombocytopenia and liver enzyme elevation. Finally, we present a case of secondary syphilis in an HIV-positive man, complicated by sensorineural deafness. For each case we highlight and discuss the specific epidemiological, clinical and therapeutic features.
AIDS-Related Opportunistic Infections/microbiology, Adult, Aged, Animals, Bites and Stings/complications, Erythema/microbiology, Humans, Male, Middle Aged, Rats, Spirochaetales Infections/diagnosis
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