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Icteric Leptospirosis Leading to Multiorgan Failure and Concomitant Pancreatitis. | LitMetric

AI Article Synopsis

  • Leptospirosis is a zoonotic disease primarily found in tropical regions, caused by a type of spirochete bacteria, and its diagnosis is complicated due to non-specific symptoms.
  • Severe cases can lead to serious health issues like renal and liver failure, along with complications such as pancreatitis and dysrhythmias, although these are rare in temperate climates.
  • The study discusses a specific case of severe leptospirosis with unique symptoms, highlighting the importance for clinicians in temperate areas to consider and test for this disease when faced with ambiguous symptoms and unexplained lab results.

Article Abstract

Leptospirosis is a zoonotic disease caused by the spirochete with a majority of cases occurring in the tropics. Diagnosing leptospirosis is challenging due to the variable and non-specific clinical presentation. While severe leptospirosis may present with renal failure, liver failure, and pulmonary hemorrhage, there are few described cases of renal failure and liver failure accompanied by pancreatitis and dysrhythmias, particularly in temperate climates. We present a case of severe leptospirosis presenting with bilateral calf pain, acute oliguric renal failure, acute liver failure, dysrhythmias, and pancreatitis. Clinicians must consider this diagnosis in temperate climates and consider testing and empirically treating for leptospirosis in patients with similar symptom constellations, vague symptoms, and lab abnormalities of unknown etiology.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10229256PMC
http://dx.doi.org/10.7759/cureus.38350DOI Listing

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