• Users Online: 355
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2015  |  Volume : 2  |  Issue : 3  |  Page : 107-111

Anicteric leptospirosis: An unusual cause of acute pancreatitis


1 Department of Medicine, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India
2 Department of Microbiology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India

Correspondence Address:
Ruhi Khan
Assistant Professor, Department of Medicine, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2225-6482.166085

Rights and Permissions

Leptospirosis is one of the most common zoonotic diseases that are potentially fatal but it is quite under-diagnosed and under-reported. However, acute necrotizing pancreatitis, which is usually associated with high mortality rate, is a rare complication of leptospirosis. This is a report of leptospirosis case presenting with acute pancreatitis. A previously healthy 35-year-old male Indian farmer presented to the emergency department with chief complaints of high-grade fever, chills, and rigors but no rash for the last 3 days. There was no history of a cough, breathlessness, pain abdomen, vomiting, hemoptysis or hematemesis, altered sensorium, or burning micturition. There was no history of any addiction or previous hospitalization. Respiratory, cardiovascular and neurological system examination was normal. Leptospira IgM ELISA was undertaken on the 7 th day of admission, which was found to be positive. IgG negative and a Leptospira microagglutination test was also positive (at 1/200, Leptospira icterohemorrhagica) pyogenes. Severe leptospirosis may be fatal before IgM antibody is reliably produced; furthermore, leptospiremia may be difficult to detect due to negative serologic results and blood cultures. Therefore, repeat serology after the 1 st week of illness and empirical treatment prior to serologic results may be essential for improving outcome in patients with severe leptospirosis.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2519    
    Printed107    
    Emailed0    
    PDF Downloaded176    
    Comments [Add]    

Recommend this journal