Pancreatitis as a severe complication of leptospirosis with fatal outcome

a case report

Autores

  • Pedro Eduardo Andrade de Carvalho Gomes Universidade Federal do Ceará, Faculdade de Medicina https://orcid.org/0000-0002-3341-9313
  • Sávio de Oliveira Brilhante Universidade Federal do Ceará, Faculdade de Medicina
  • Rachel Bezerra Carvalho Hospital Geral de Fortaleza
  • Daniel Ribeiro de Sousa Universidade de Fortaleza
  • Elizabeth De Francesco Daher Universidade Federal do Ceará, Faculdade de Medicina https://orcid.org/0000-0003-4189-1738

DOI:

https://doi.org/10.1590/S1678-9946201961063

Palavras-chave:

Leptospirosis, Arrhythmia, Acute pancreatitis, Acute kidney injury

Resumo

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.

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Publicado

2019-11-26

Edição

v. 61 (2019)

Seção

Relato de Caso

Como Citar

Gomes, P. E. A. de C., Brilhante, S. de O., Carvalho, R. B., Sousa, D. R. de, & Daher, E. D. F. (2019). Pancreatitis as a severe complication of leptospirosis with fatal outcome: a case report. Revista Do Instituto De Medicina Tropical De São Paulo, 61, e63. https://doi.org/10.1590/S1678-9946201961063