PERİKARDİAL PLEVRAL EFÜZYON VE ASİT İLE SEYREDEN BİR LEPTOSPİROZ OLGUSU

Leptospirosis, an infectious disease that affects humans and animals, is considered the most common zoonosİs İn the wortd. The infection causes a systemic illness that often leads to renal and hepatic dysfunction. Eighteen year old woman admitted to our clinic wİth cough, sore throat, fever, fatigue, maculopapular rash and monoarthritis. Joundice, hepatosplenomegaly and ascites were noted on physical examinatİon. Pericardial and pleural effusion in addition to ascites were seen on computed tomography. Weü's syndrome was diagnosed with direct mi-croscopy and ELISA test of the bİood sample. Despİte Ihe prompt initiation of peniciIlin-G treatment with daily 24 miilion units in six equal doses, the patient died in 48 houıs. Six weeks later blood culture result was reported as Leptospira icterohaemorrhagiae. Polyserositis is a rare clinİcal finding in leptospirosis. Together with fever, joundice, organomegaly and arthri-tis, Weif syndrome must be inciuded in the differential diagnosis of polyserositis.