Leptospirosis con anemia hemolítica microangiopática. Presentación de un caso

a 47 year-old, caucasian housewife-woman who lives in a rural area was admitted at "abel santamaria cuadrado" university hospital presenting high fever, arthralgia and myalgia of the lower limbs, vomits and marked diarrhea, asthenia, anorexia and saffron-colored (jaundice) skin and mucosa. serological examinations showed leptospirosis caused by laelia autumnalis. the prevailing hemolytic nature of jaundice was proved; which provoked an intense anemia, the patient needed a blood transfusion. the possible causes of hemodialysis were analyzed. microangiopathic hemolytic anemia is a rare complication in leptospirosis.