title: Acute pancreatitis in fatal anicteric leptospirosis.
abstract: 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.
authors.affiliation: Universidade São Paulo, São Paulo, Brazil.
authors.forename: Anne
authors.initials: A
authors.lastname: Spichler
authors.forename: Ethel
authors.initials: E
authors.lastname: Spichler
authors.forename: Marcelo
authors.initials: M
authors.lastname: Moock
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Vinetz
authors.forename: John A D
authors.initials: JA
authors.lastname: Leake
mesh_terms: 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*
chemical_list: D000907:Antibodies, Bacterial