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 and abdominal pain, and serum pancreatic enzymes, blood glucose, and serum electrolytes should be closely monitored.
Spichler
Anne
A
Universidade São Paulo, São Paulo, Brazil.
Spichler
Ethel
E
Moock
Marcelo
M
Vinetz
Joseph M
JM
Leake
John A D
JA
D000208:Acute Disease; D000293:Adolescent; D000907:Antibodies, Bacterial / Q000097:blood; D017809:Fatal Outcome; D006801:Humans; D007922:Leptospirosis / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology*
D000907:Antibodies, Bacterial