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Acute acalculous cholecystitis in leptospirosis.
J Clin Gastroenterol. 1999 Oct; 29(3):280-3.JC

Abstract

The authors present three patients with acalculous cholecystitis seen at a tertiary care center in Bangkok. The first patient was explored surgically because peritonitis was suspected. The two other patients were treated conservatively with antibiotics and supportive care, and they recovered fully. The diagnosis of leptospirosis was confirmed by increasing antibody titers in three patients and by blood culture in one patient. Leptospira were not detected in the surgical specimen. Leptospirosis is a systemic disease that can present with a multitude of symptoms and signs including right upper quadrant pain mimicking cholecystitis. A high level of awareness and appropriate laboratory studies should allow early diagnosis and may prevent unnecessary surgical intervention.

Authors+Show Affiliations

Department of Medicine, Chulalongkorn University Hospital, Bangkok, Thailand.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

10509958

Citation

Vilaichone, R K., et al. "Acute Acalculous Cholecystitis in Leptospirosis." Journal of Clinical Gastroenterology, vol. 29, no. 3, 1999, pp. 280-3.
Vilaichone RK, Mahachai V, Wilde H. Acute acalculous cholecystitis in leptospirosis. J Clin Gastroenterol. 1999;29(3):280-3.
Vilaichone, R. K., Mahachai, V., & Wilde, H. (1999). Acute acalculous cholecystitis in leptospirosis. Journal of Clinical Gastroenterology, 29(3), 280-3.
Vilaichone RK, Mahachai V, Wilde H. Acute Acalculous Cholecystitis in Leptospirosis. J Clin Gastroenterol. 1999;29(3):280-3. PubMed PMID: 10509958.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute acalculous cholecystitis in leptospirosis. AU - Vilaichone,R K, AU - Mahachai,V, AU - Wilde,H, PY - 1999/10/6/pubmed PY - 1999/10/6/medline PY - 1999/10/6/entrez SP - 280 EP - 3 JF - Journal of clinical gastroenterology JO - J Clin Gastroenterol VL - 29 IS - 3 N2 - The authors present three patients with acalculous cholecystitis seen at a tertiary care center in Bangkok. The first patient was explored surgically because peritonitis was suspected. The two other patients were treated conservatively with antibiotics and supportive care, and they recovered fully. The diagnosis of leptospirosis was confirmed by increasing antibody titers in three patients and by blood culture in one patient. Leptospira were not detected in the surgical specimen. Leptospirosis is a systemic disease that can present with a multitude of symptoms and signs including right upper quadrant pain mimicking cholecystitis. A high level of awareness and appropriate laboratory studies should allow early diagnosis and may prevent unnecessary surgical intervention. SN - 0192-0790 UR - https://www.unboundmedicine.com/medline/citation/10509958/Acute_acalculous_cholecystitis_in_leptospirosis_ L2 - https://doi.org/10.1097/00004836-199910000-00012 DB - PRIME DP - Unbound Medicine ER -