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Acute acalculous cholecystitis and pancreatitis in a patient with concomitant leptospirosis and scrub typhus.
J Microbiol Immunol Infect. 2003 Dec; 36(4):285-7.JM

Abstract

Concomitant leptospirosis and scrub typhus is rare. The spectrum of clinical severity for both scrub typhus and leptospirosis ranges from mild to fatal. Acute pancreatitis and cholecystitis are infrequent complications in adult patients with either leptospirosis or scrub typhus. We report a case of leptospirosis and scrub typhus coinfection in a 41-year-old man presenting with acute acalculous cholecystitis, pancreatitis and acute renal failure. Abdominal computed tomography revealed edematous change of the gallbladder without intrahepatic or pancreatic lesions. The patient was successfully treated with doxycycline and ceftriaxone, and supportive management.

Authors+Show Affiliations

Wang NC
Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Ni YH
No affiliation info available
Peng MY
No affiliation info available
Chang FY
No affiliation info available

MeSH

Acalculous CholecystitisAdultAnti-Bacterial AgentsAntibodies, BacterialCeftriaxoneCholecystitis, AcuteDoxycyclineDrug Therapy, CombinationHumansLeptospira interrogansLeptospirosisMilitary PersonnelOrientia tsutsugamushiPancreatitisRenal InsufficiencyScrub TyphusTomography, X-Ray Computed

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

14723261

Citation

Wang, Ning-Chi, et al. "Acute Acalculous Cholecystitis and Pancreatitis in a Patient With Concomitant Leptospirosis and Scrub Typhus." Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi, vol. 36, no. 4, 2003, pp. 285-7.
Wang NC, Ni YH, Peng MY, et al. Acute acalculous cholecystitis and pancreatitis in a patient with concomitant leptospirosis and scrub typhus. J Microbiol Immunol Infect. 2003;36(4):285-7.
Wang, N. C., Ni, Y. H., Peng, M. Y., & Chang, F. Y. (2003). Acute acalculous cholecystitis and pancreatitis in a patient with concomitant leptospirosis and scrub typhus. Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi, 36(4), 285-7.
Wang NC, et al. Acute Acalculous Cholecystitis and Pancreatitis in a Patient With Concomitant Leptospirosis and Scrub Typhus. J Microbiol Immunol Infect. 2003;36(4):285-7. PubMed PMID: 14723261.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute acalculous cholecystitis and pancreatitis in a patient with concomitant leptospirosis and scrub typhus. AU - Wang,Ning-Chi, AU - Ni,Yuen-Hua, AU - Peng,Ming-Yieh, AU - Chang,Feng-Yee, PY - 2004/1/16/pubmed PY - 2004/7/3/medline PY - 2004/1/16/entrez SP - 285 EP - 7 JF - Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi JO - J Microbiol Immunol Infect VL - 36 IS - 4 N2 - Concomitant leptospirosis and scrub typhus is rare. The spectrum of clinical severity for both scrub typhus and leptospirosis ranges from mild to fatal. Acute pancreatitis and cholecystitis are infrequent complications in adult patients with either leptospirosis or scrub typhus. We report a case of leptospirosis and scrub typhus coinfection in a 41-year-old man presenting with acute acalculous cholecystitis, pancreatitis and acute renal failure. Abdominal computed tomography revealed edematous change of the gallbladder without intrahepatic or pancreatic lesions. The patient was successfully treated with doxycycline and ceftriaxone, and supportive management. SN - 1684-1182 UR - https://www.unboundmedicine.com/medline/citation/14723261/Acute_acalculous_cholecystitis_and_pancreatitis_in_a_patient_with_concomitant_leptospirosis_and_scrub_typhus_ DB - PRIME DP - Unbound Medicine ER -