Pancreatitis as a severe complication of leptospirosis with fatal outcome: a case report

• Autor(a) principal: Gomes, Pedro Eduardo Andrade de Carvalho
• Data de Publicação: 2019
• Outros Autores: Brilhante, Sávio de Oliveira, Carvalho, Rachel Bezerra, Sousa, Daniel Ribeiro de, Daher, Elizabeth De Francesco
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
• Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/164413
• topic: Leptospirosis; Arrhythmia; Acute pancreatitis; Acute kidney injury

Leptospirosis is a globally distributed zoonosis with a broad clinical spectrum. This disease mostly affects liver and kidney tissues. Other organs such as the pancreas, can be affected by leptospirosis-induced vasculitis. In addition, cardiac manifestations are common, and the presence of transient ECG abnormalities can be found in 70% of the patients. We report a male patient who presented with an atypical leptospirosis that progressed with severe acute pancreatitis, acute kidney injury and atrial fibrillation. Early diagnosis and adequate supportive therapy are crucial for the appropriated management of symptoms.