Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis
Braz. j. infect. dis
;
15(5): 493-497, Sept.-Oct. 2011. tab
Article
in English
| LILACS
| ID: lil-612713
ABSTRACT
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pancreatitis
/
Peripheral Nervous System Diseases
/
Muscle Weakness
/
Leptospirosis
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Braz. j. infect. dis
Journal subject:
Communicable Diseases
Year:
2011
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
UFSC Member of the Câmara Técnica de Transplante de Fígado do Estado de Santa Catarina Imperial Hospital de Caridade/BR
/
UFSC/BR
/
Universidade Federal de Santa Catarina/BR
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