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Anicteric leptospirosis with pneumonitis, pericarditis and acalculous cholecystitis.
Infez Med. 2014 Sep; 22(3):236-40.IM

Abstract

We report the case of a 19-year-old male patient admitted to hospital with fever, asthenia, vomiting, abdominal and chest pains, cough with yellowish sputum, and hypotension. Laboratory tests showed leukocytosis and high creatine phosphokinase levels, without hyperbilirubinaemia or renal failure. The tomographic images of the chest and abdomen showed a right basal pneumonia and acalculous cholecystitis. The electrocardiograms revealed significant characteristics of acute pericarditis. Specific serology for leptospirosis done in the second and third weeks of disease showed positive results. The use of ceftriaxone 1g intravenously, twice a day for 7 days, resulted in an overall clinic improvement. The role of the suspicion index for diagnosis of leptospirosis is emphasized in anicteric patients, as well as the unsuspected possibility of pulmonary, pericardial and gallbladder involvement.

Authors+Show Affiliations

Medicine Department from Armed Forces Hospital; Catholic University of Brasilia, Brasil.Medicine Department from Armed Forces Hospital; Catholic University of Brasilia, Brasil.Medicine Department from Armed Forces Hospital; Catholic University of Brasilia, Brasil.Medicine Department from Armed Forces Hospital; Catholic University of Brasilia, Brasil.Medicine Department from Armed Forces Hospital; Catholic University of Brasilia, Brasil.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25269967

Citation

Santos, Vitorino Modesto dos, et al. "Anicteric Leptospirosis With Pneumonitis, Pericarditis and Acalculous Cholecystitis." Le Infezioni in Medicina, vol. 22, no. 3, 2014, pp. 236-40.
Santos VM, Santos UM, Gebrin DG, et al. Anicteric leptospirosis with pneumonitis, pericarditis and acalculous cholecystitis. Infez Med. 2014;22(3):236-40.
Santos, V. M., Santos, U. M., Gebrin, D. G., Santos, A. M., & Cancado, A. C. (2014). Anicteric leptospirosis with pneumonitis, pericarditis and acalculous cholecystitis. Le Infezioni in Medicina, 22(3), 236-40.
Santos VM, et al. Anicteric Leptospirosis With Pneumonitis, Pericarditis and Acalculous Cholecystitis. Infez Med. 2014;22(3):236-40. PubMed PMID: 25269967.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anicteric leptospirosis with pneumonitis, pericarditis and acalculous cholecystitis. AU - Santos,Vitorino Modesto dos, AU - Santos,Uliana Medeiros dos, AU - Gebrin,Daniela Gomes, AU - Santos,Alessandra Maria Rodrigues Oliveira, AU - Cancado,Ana Carolina Vieira, PY - 2014/10/2/entrez PY - 2014/10/2/pubmed PY - 2016/11/2/medline SP - 236 EP - 40 JF - Le infezioni in medicina JO - Infez Med VL - 22 IS - 3 N2 - We report the case of a 19-year-old male patient admitted to hospital with fever, asthenia, vomiting, abdominal and chest pains, cough with yellowish sputum, and hypotension. Laboratory tests showed leukocytosis and high creatine phosphokinase levels, without hyperbilirubinaemia or renal failure. The tomographic images of the chest and abdomen showed a right basal pneumonia and acalculous cholecystitis. The electrocardiograms revealed significant characteristics of acute pericarditis. Specific serology for leptospirosis done in the second and third weeks of disease showed positive results. The use of ceftriaxone 1g intravenously, twice a day for 7 days, resulted in an overall clinic improvement. The role of the suspicion index for diagnosis of leptospirosis is emphasized in anicteric patients, as well as the unsuspected possibility of pulmonary, pericardial and gallbladder involvement. SN - 1124-9390 UR - https://www.unboundmedicine.com/medline/citation/25269967/Anicteric_leptospirosis_with_pneumonitis_pericarditis_and_acalculous_cholecystitis_ L2 - https://www.infezmed.it/index.php/article?Anno=2014&numero=3&ArticoloDaVisualizzare=Vol_22_3_2014_236 DB - PRIME DP - Unbound Medicine ER -