Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Infectious Diseases |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000500016 |
Resumo: | Leptospirosis is a spirochetal bacterial infection of great public health importance. It has a broad spectrum of clinical manifestations which goes from subclinical infection and self-limited anicteric febrile illness (80-90% of all cases) to icteric leptospiropirosis known as Weil's disease. This is a severe disease characterized by hemorrhage, acute renal failure and jaundice. It is uncommon for leptospirosis to present itself as a primary neurological disease. Additionally, acute pancreatitis is an unusual gastrointestinal manifestation. We report a case of leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis in an adult patient treated at Hospital Universitário, Universidade Federal de Santa Catarina. The diagnosis was confirmed through ELISA-IgM antibody testing positive for leptospirosis. After antibiotic therapy and support treatment for a few weeks, total resolution of severe manifestations was achieved. Rare and unusual presentations of leptospirosis should be kept in mind in relevant epidemiological scenario. |
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Brazilian Journal of Infectious Diseases |
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Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitisleptospirosispancreatitisneurologic manifestationsLeptospirosis is a spirochetal bacterial infection of great public health importance. It has a broad spectrum of clinical manifestations which goes from subclinical infection and self-limited anicteric febrile illness (80-90% of all cases) to icteric leptospiropirosis known as Weil's disease. This is a severe disease characterized by hemorrhage, acute renal failure and jaundice. It is uncommon for leptospirosis to present itself as a primary neurological disease. Additionally, acute pancreatitis is an unusual gastrointestinal manifestation. We report a case of leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis in an adult patient treated at Hospital Universitário, Universidade Federal de Santa Catarina. The diagnosis was confirmed through ELISA-IgM antibody testing positive for leptospirosis. After antibiotic therapy and support treatment for a few weeks, total resolution of severe manifestations was achieved. Rare and unusual presentations of leptospirosis should be kept in mind in relevant epidemiological scenario.Brazilian Society of Infectious Diseases2011-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000500016Brazilian Journal of Infectious Diseases v.15 n.5 2011reponame:Brazilian Journal of Infectious Diseasesinstname:Brazilian Society of Infectious Diseases (BSID)instacron:BSID10.1590/S1413-86702011000500016info:eu-repo/semantics/openAccessSilva,Andre PachecoBurg,Luciana BonnassisLocatelli,João Felipe SchadeckManes,JoiceCrispim,Morganaeng2011-10-17T00:00:00Zoai:scielo:S1413-86702011000500016Revistahttps://www.bjid.org.br/https://old.scielo.br/oai/scielo-oai.phpbjid@bjid.org.br||lgoldani@ufrgs.br1678-43911413-8670opendoar:2011-10-17T00:00Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID)false |
dc.title.none.fl_str_mv |
Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis |
title |
Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis |
spellingShingle |
Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis Silva,Andre Pacheco leptospirosis pancreatitis neurologic manifestations |
title_short |
Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis |
title_full |
Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis |
title_fullStr |
Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis |
title_full_unstemmed |
Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis |
title_sort |
Leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis |
author |
Silva,Andre Pacheco |
author_facet |
Silva,Andre Pacheco Burg,Luciana Bonnassis Locatelli,João Felipe Schadeck Manes,Joice Crispim,Morgana |
author_role |
author |
author2 |
Burg,Luciana Bonnassis Locatelli,João Felipe Schadeck Manes,Joice Crispim,Morgana |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Silva,Andre Pacheco Burg,Luciana Bonnassis Locatelli,João Felipe Schadeck Manes,Joice Crispim,Morgana |
dc.subject.por.fl_str_mv |
leptospirosis pancreatitis neurologic manifestations |
topic |
leptospirosis pancreatitis neurologic manifestations |
description |
Leptospirosis is a spirochetal bacterial infection of great public health importance. It has a broad spectrum of clinical manifestations which goes from subclinical infection and self-limited anicteric febrile illness (80-90% of all cases) to icteric leptospiropirosis known as Weil's disease. This is a severe disease characterized by hemorrhage, acute renal failure and jaundice. It is uncommon for leptospirosis to present itself as a primary neurological disease. Additionally, acute pancreatitis is an unusual gastrointestinal manifestation. We report a case of leptospirosis presenting as ascending progressive leg weakness and complicating with acute pancreatitis in an adult patient treated at Hospital Universitário, Universidade Federal de Santa Catarina. The diagnosis was confirmed through ELISA-IgM antibody testing positive for leptospirosis. After antibiotic therapy and support treatment for a few weeks, total resolution of severe manifestations was achieved. Rare and unusual presentations of leptospirosis should be kept in mind in relevant epidemiological scenario. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000500016 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000500016 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1413-86702011000500016 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Brazilian Society of Infectious Diseases |
publisher.none.fl_str_mv |
Brazilian Society of Infectious Diseases |
dc.source.none.fl_str_mv |
Brazilian Journal of Infectious Diseases v.15 n.5 2011 reponame:Brazilian Journal of Infectious Diseases instname:Brazilian Society of Infectious Diseases (BSID) instacron:BSID |
instname_str |
Brazilian Society of Infectious Diseases (BSID) |
instacron_str |
BSID |
institution |
BSID |
reponame_str |
Brazilian Journal of Infectious Diseases |
collection |
Brazilian Journal of Infectious Diseases |
repository.name.fl_str_mv |
Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID) |
repository.mail.fl_str_mv |
bjid@bjid.org.br||lgoldani@ufrgs.br |
_version_ |
1754209241958187008 |