Leptospira-Salmonella: Double sepsis

Severe, life threatening conditions, septicemias, have a mortality rate of about 20-50 %, and their rate of incidence is increasing. While single-agent septicemias are encountered frequently, double-agent septicemias have been diagnosed rarely and sometimes responsible agents can not be found easily.In our case, we isolated salmonella and leptospira species at the same time from a patient presenting us with hepatosplenomegaly, fever, renal and hepatic dysfunction. While enterally-acquired salmonellas show a broad spectrum of manifestations from local infections to septicemias, leptospiras, acquired by liquids and foods not undergoing to proper sanitization methods, manifest as a condition resembling a wide-spread vasculitis. For all septicemia cases, if “the golden hours” is not wasted and proper management is done timely, mortality rate will decrease significantly.

Leptospira-Salmonella: Birlikte sepsis