钩端螺旋体病(简称钩体病)是一种流行性较广的自然疫源性急性传染病,临床表现复杂多样,并发症严重,来势凶猛,极易误诊,重症病死率高。我院收治1例重症黄疽出血型钩体病误诊为急性重症肝炎,现报告如下。患者女,27岁,未婚,农民,在广州市郊一间用猪胆汁生产胆红素的工厂工作,于1989年4月21日起畏寒,发热(T39.5℃),食欲减退、恶心、呕吐、吐出胃内容物,疲乏,腹胀,尿黄如茶色,在当地卫 Leptospirosis (Leptospirosis) is a widely epidemic natural foci of acute infectious diseases, the clinical manifestations of complex and diverse, serious complications, ferocious, easily misdiagnosed, severe high mortality. In our hospital admitted to a case of severe jaundice bleeding leptospirosis misdiagnosed as acute severe hepatitis, are as follows. Female, 27, unmarried, farmer, worked in a factory that produces bilirubin from pig bile in the suburbs of Guangzhou. She started chills, fever (T39.5 ° C) on April 21, 1989, her anorexia, nausea, Vomiting, spit out the contents of the stomach, tired, bloating, urine yellow, such as brown, in the local Wei