Résumé
Haemophilus influenzae é um microorganismo responsávelpor uma variedade de infecções, sendo que namaioria das vezes são causadas pelo subtipo b. Relatamosum caso de artrite séptica pelo subtipo não b, associadoà meningite e piomiosite e sem evidência de fatorese condições predisponentes a infecção por esse agente.O paciente apresentou uma boa evolução clínica que foiatribuída a antibioticoterapia precoce e adequada.
Haemophilus influenzae is a microorganism responsiblefor a variety of infections, and most often are caused by subtypeb. We report a case of septic arthritis by subtype not b,associated with meningitis and pyomyositis and no evidenceof factors and conditions predisposing to infection by thispathogen. The patient had a clinical improvement was attributedto early and appropriate antibiotic therapy.
Résumé
Leptospirosis is a spirochetal bacterial infection of great public health importance. It has a broad spectrum of clinical manifestations which goes from subclinical infection and self-limited anicteric febrile illness (80-90 percent of all cases) to icteric leptospiropirosis known as Weil's disease. This is a severe disease characterized by hemorrhage, acute renal failure and jaundice. It is uncommon for leptospirosis to present itself as a primary neurological disease. Additionally, acute pancreatitis is an unusual gastrointestinal manifestation. We report a case of leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis in an adult patient treated at Hospital Universitário, Universidade Federal de Santa Catarina. The diagnosis was confirmed through ELISA-IgM antibody testing positive for leptospirosis. After antibiotic therapy and support treatment for a few weeks, total resolution of severe manifestations was achieved. Rare and unusual presentations of leptospirosis should be kept in mind in relevant epidemiological scenario.