RESUMO
A rare case of painless pancreatitis caused by Leptospira is reported. The patient presented clinically with features of paralytic ileus and renal failure. Hyperamylasemia was persistent inspite of recovery of renal function. The patient recovered on treatment with penicillin and serum amylase returned to normal in three months.
Assuntos
Leptospira/isolamento & purificação , Leptospirose/complicações , Pancreatite/diagnóstico , Terapia Combinada , Diagnóstico Diferencial , Seguimentos , Humanos , Índia , Leptospirose/diagnóstico , Leptospirose/terapia , Masculino , Pessoa de Meia-Idade , Medição da Dor , Pancreatite/etiologia , Medição de Risco , Índice de Gravidade de DoençaRESUMO
Leptospirosis is an uncommon zoonosis. As a systemic disease, it presents itself by multisystem involvement. Pulmonary involvement with leptospirosis often is manifested by respiratory symptoms; but pneumonia commonly is not a prominent clinical manifestation of the illness. We report a case of leptospiral pneumonia in which pulmonary manifestations were primary clinical features of the illness. The prompt resolution of chest x-ray on institution of treatment is noteworthy.
