Leptospirosis Followed by Kawasaki-Like Disease: Case Report From an Adult Swiss Patient and Review of the Literature.

Publication

Leptospirosis Followed by Kawasaki-Like Disease: Case Report From an Adult Swiss Patient and Review of the Literature.

Journal Paper/Review - Feb 24, 2021

Baerlocher Severin, Helfenstein Seth, Mahr Alfred, Crippa Selina, Garcia Boy Regine, Kahlert Christian, Yurttas Timur, Hatz Christoph, Kohler Philipp

Citation

Baerlocher S, Helfenstein S, Mahr A, Crippa S, Garcia Boy R, Kahlert C, Yurttas T, Hatz C, Kohler P. Leptospirosis Followed by Kawasaki-Like Disease: Case Report From an Adult Swiss Patient and Review of the Literature. Open Forum Infect Dis 2021; 8:ofab088.

Type

Journal Paper/Review (English)

Journal

Open Forum Infect Dis 2021; 8

Publication Date

Feb 24, 2021

Issn Print

2328-8957

Pages

ofab088

Brief description/objective

Kawasaki disease (KD) is a vasculitis that mostly occurs in children, but rare cases in adults have been reported. We describe the case of a 43-year-old Swiss male who developed symptoms compatible with KD 7 weeks after leptospirosis, which was presumably acquired after swimming in a creek in the Swiss Alps. We performed a literature review and identified 10 other cases (all in children), in which Kawasaki-like disease was diagnosed in the context of leptospirosis. Outcome was favourable in most cases, including our patient. This exceptional case demonstrates both the possibility of autochthonous cases of leptospirosis in Switzerland as well as a possible association of leptospirosis with Kawasaki-like disease.