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Early Hemidiaphragmatic Paralysis Followed by Polyradiculomyelitis as a Complication of Leptospirosis – Case Study Report

Mirjana Balen Topić ; School of Medicine, University of Zagreb, University Hospital for Infectious Diseases „Dr. Fran Mihaljević“, Department for Gastrointestinal Infections


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Abstract

We describe a patient with acute encephalomyeloradiculitis during leptospirosis. Unilateral diaphragmatic paralysis, noted on the 7th day of illness, appeared as the first neurological deficit. The patient was treated with amoxicillin/clavulanic acid for seven days, from the 7th day of illness. The symptoms of polyradiculitis appeared in the second phase of the illness, and progressed during high dose dexamethasone therapy. The patient recovered completely.

Keywords

leptospirosis; diaphragmatic paralysis; neurological complications; polyradiculomyelitis

Hrčak ID:

226069

URI

https://hrcak.srce.hr/226069

Publication date:

10.10.2019.

Article data in other languages: croatian

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