Severe mononeuritis multiplex as a rare case of neuro leptospirosis: A case report
Sofiati Dian,
Ni Made Gitaria Sylvana Ratmadewi,
Suryani Gunadharma,
Ahmad Rizal Ganiem
Affiliations
Sofiati Dian
Department of Neurology, Dr. Hasan Sadikin Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia; Research Center for Care and Control of Infectious Disease (RC3ID), Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia; Corresponding author. Department of Neurology, Hasan Sadikin Hospital, Jalan Pasteur No 38, Bandung, 40161, Indonesia.
Ni Made Gitaria Sylvana Ratmadewi
Department of Neurology, Dr. Hasan Sadikin Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia
Suryani Gunadharma
Department of Neurology, Dr. Hasan Sadikin Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia
Ahmad Rizal Ganiem
Department of Neurology, Dr. Hasan Sadikin Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia; Research Center for Care and Control of Infectious Disease (RC3ID), Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia
Leptospirosis is a zoonotic bacterial disease caused by infection of spirochetes of the genus Leptospira. While typically self-limiting and non-fatal, severe manifestations can arise, including various neurological complications that are often overlooked. This case study presents a 59-year-old man with serologically positive Leptospirosis, who subsequently developed asymmetrical progressive leg weakness, severe back pain, and overflow incontinence suggestive of mononeuritis multiplex. Doxycycline treatment was started and intended to last for seven days. The patient had ongoing paraparesis, but all other problems were disappeared. The present case emphasizes the significance of identifying and treating neurological problems brought on by leptospirosis. To improve suitable treatment plans and patient outcomes, more research on these problems is necessary.