ACUTE PANCREATITIS IN FATAL ANICTERIC LEPTOSPIROSIS

We report a fatal case of anicteric leptospirosis with pancreatitis (acute hyperglycemia and insulin requirement, elevated lipase and amylase levels), pulmonary infiltrates, and refractory shock. In disease-endemic areas, leptospirosis with pancreatitis should be considered in patients with fever an...

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Veröffentlicht in:	The American journal of tropical medicine and hygiene 2007-05, Vol.76 (5), p.886-887
Hauptverfasser:	SPICHLER, ANNE, SPICHLER, ETHEL, MOOCK, MARCELO, VINETZ, JOSEPH M, LEAKE, JOHN A. D
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Adolescent Antibodies, Bacterial - blood Bacterial diseases Biological and medical sciences Fatal Outcome Gastroenterology. Liver. Pancreas. Abdomen Human bacterial diseases Humans Infectious diseases Leptospira Leptospirosis - complications Leptospirosis - diagnosis Leptospirosis - physiopathology Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Miscellaneous Other diseases. Semiology Pancreatitis - diagnosis Pancreatitis - etiology
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Zusammenfassung:	We report a fatal case of anicteric leptospirosis with pancreatitis (acute hyperglycemia and insulin requirement, elevated lipase and amylase levels), pulmonary infiltrates, and refractory shock. In disease-endemic areas, leptospirosis with pancreatitis should be considered in patients with fever and abdominal pain, and serum pancreatic enzymes, blood glucose, and serum electrolytes should be closely monitored.
ISSN:	0002-9637 1476-1645
DOI:	10.4269/ajtmh.2007.76.886