Acute pancreatitis in severe leptospirosis infection

(Received 18 May,2008 ; Accepted 10 Sep, 2008) Abstract Leptospirosis is a Zoonotic disease that rarely manifests in a severe manner, (Weil's syndrome). Regarding epidemiology of this disease, in some rural areas of Mazandaran Province we encountered a rare case of acute pancreatitis during p...

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Bibliographic Details
Main Authors: Hafez Fakheri, Ateyeh Makhlough, Zahra Kashi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2008-01-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://www.mazums.ac.ir/index.php?digital_library&do=downloadPdf&sid=667
Description
Summary:(Received 18 May,2008 ; Accepted 10 Sep, 2008) Abstract Leptospirosis is a Zoonotic disease that rarely manifests in a severe manner, (Weil's syndrome). Regarding epidemiology of this disease, in some rural areas of Mazandaran Province we encountered a rare case of acute pancreatitis during progression of severe Leptosprosis is presented herein. Patient is a 50 year old male farmer who was admitted to the hospital due to experiencing 10 days of fever, myalgia, vomiting, jaundice and abdominal pain. He underwent haemo-dialysis due to acute renal failure only once. Direct bilirubin was 31.7 mg/dl with serum amylase, while lipase was three times more than normal levels. The CT-Scan demonstrated diffuse pancreatic enlargement. The IgM titer fourfold which was more than normal level against leptospirosis (ELISA) confirmed the diagnosis. Patient was cured completely through supportive care and antibiotic therapy, thus, this case was reported in drawing attention to Leptospira infections, which should be considered in the differential diagnosis of patients with jaundice and pancreatitis. J Mazand Univ Med Sci 2008; 18(66):92-97(Persian)
ISSN:1735-9260
1735-9279