The Jarisch–Herxheimer reaction in a patient with leptospirosis: a foreseeable problem in managing spirochaete infections

Ryan Markham, Andrew Slack and John Gerrard
Med J Aust 2012; 197 (5): . || doi: 10.5694/mja11.11175
Published online: 3 September 2012

To the Editor: A 60-year-old male farmer presented to the Gold Coast Hospital Emergency Department with a 2-day history of fever (38.5°C), retro-orbital pain, photophobia and confusion. In the preceding 2 weeks he had been working on a farm that had cattle and horses and which was infested with rats. The property had been flooded in the 2011 Queensland flood disaster, about a month before he worked there.

  • Ryan Markham
  • Andrew Slack
  • John Gerrard

  • Department of Medicine, Gold Coast Hospital, Gold Coast, QLD.


Competing interests:

No relevant disclosures.


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