Afectación pancreática en infección por leptospirosis / Pancreatic involvement in leptospirosis infection
INSPILIP
; 1(1): 1-11, ene.-jun 2017.
Article
in Spanish
| LILACS
| ID: biblio-987626
Responsible library:
EC7.1
RESUMEN
La leptospirosis en fase ictérica o enfermedad de Weil es una vasculitis zoonótica endémica de la Costa ecuatoriana. Sin embargo, la pancreatitis aguda como parte de esta entidad es una complicación rara vez documentada. En este reporte de caso se presenta a un adulto varón de 63 años con signos de falla multiorgánica y amilasa con rápido ascenso inicial. La leptospirosis no fue tomada como primera opción diagnóstica. El paciente fue tratado debido a un cuadro de SDRA como un shock séptico de foco pulmonar, con falla renal aguda que requirió hemodiálisis, permaneciendo en UCI con antibioticoterapia empírica. El objetivo de este caso es remarcar que la leptospirosis debe siempre estar considerada en el diagnóstico diferencial de ictericia y pancreatitis, sobre todo en nuestro medio.
ABSTRACT
The icteric presentation of Leptospirosis, also known as Weil's disease, is a zoonotic vasculitis endemic to Ecuador's coastal region. However, reports of pancreatic affection due to this entity are rarely documented. We chose to present the case of a 63 years old male with signs of catastrophic organic failure, associated with a rapid increase in serum amylase concentrations. Due to this presentation, Leptospirosis was not held as the primary culprit of the disease, and was treated at the ICU as septic shock of pulmonary origin with ARDS associated with acute kidney injury that required hemodialysis. Thus this case aims to highlight the importance of Leptospirosis as an important differential diagnosis in any patient hailing from a tropical region with jaundice and pancreatitis.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.3: End transmission of communicable diseases
/
Target 3.9: Reduce the amount of deaths produced by dangerous chemicals and the pollution of the air, water and soil
Database:
LILACS
Main subject:
Vasculitis
/
Weil Disease
/
Amylases
/
Leptospirosis
/
Multiple Organ Failure
Type of study:
Screening study
Limits:
Humans
/
Male
Language:
Spanish
Journal:
INSPILIP
Journal subject:
InovaÆo
/
Sa£de P£blica
Year:
2017
Document type:
Article
Affiliation country:
Ecuador
Institution/Affiliation country:
Hospital Docente de la Pontificia Universidad Católica del Ecuador/EC
/
Universidad Central del Ecuador/EC
/
Universidad Tecnológica Equinoccional, UTE/EC