Leptospirosis complicated with meningoencephalitis and pancreatitis -a case report

Mondal, Sumantro; Ete, Tony; Sinha, Debanjali; Sarkar, S.; Chakraborty, Atanu; Nag, Arijit; Pal, Jyotirmoy; Ghosh, Alakendu

doi:10.5958/j.2319-5886.3.2.100

Cited by 1 publication

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“…Other clinical signs were abdominal tenderness (n = 15, 18.9%), conjunctival suffusion (n = 13, 16.4%), tachypnea (n = 10, 12.6%), and basal crepitation (n = 9, 11.3%) ( Table 1 ). 3 , 6 , 8 , 11 – 15 , 17 , 19 , 21 – 47 …”

Section: Resultsmentioning

confidence: 99%

“…The most common electrocardiographic findings noted were atrial fibrillation (n = 3, 3.7%), bradycardia (n = 3, 3.7%), and atrioventricular block (n = 1, 1.2%) ( Table 2 ). 3 , 6 , 8 , 11 – 15 , 17 , 19 , 21 – 47 …”

Section: Resultsmentioning

confidence: 99%

“…AXR was performed in five (6.3%) patients, and the presence of dilated intestinal loops (n = 2, 2.5%) was the most common finding ( Table 3 ). 3 , 6 , 8 , 11 – 15 , 17 , 19 , 21 – 47 …”

Section: Resultsmentioning

confidence: 99%

“…Atrial fibrillation (n = 4, 5.0%), bradycardia (n = 4, 5.0%), and meningitis (n = 2, 2.5%) were other notable complications ( Table 4 ). 3 , 6 , 8 , 11 – 15 , 17 , 19 , 21 – 47 …”

Section: Resultsmentioning

confidence: 99%

“…A judicious fluid regimen was used in six (7.5%) patients, and a liberal fluid regimen was used in one (1.2%) patient ( Table 4 ). 3 , 6 , 8 , 11 – 15 , 17 , 19 , 21 – 47 …”

Section: Resultsmentioning

confidence: 99%

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Clinical characteristics and outcomes of patients with leptospirosis complicated with acute pancreatitis: a systematic review

Charles,

Jayarajah,

Subasinghe

2023

J Int Med Res

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Objectives Acute pancreatitis (AP) is a severe complication of leptospirosis. This review focuses on the current evidence of AP in patients with leptospirosis. Methods Data on clinical characteristics, biochemical parameters, diagnosis, complications, critical care, fluid management, operative management, and outcomes were analyzed. This study was registered in PROSPERO (CRD42022360802). Results We included 35 individual case reports and 4 case series involving 79 patients. Sex was reported for 48 (60.7%) patients; 38 (48.1%) were male and 10 (12.6%) were female. The patients’ mean age was 45.13 (15–83 years). Acute kidney injury, thrombocytopenia, hypotension, and liver injury were the most common complications reported. Complete recovery was reported for 36 (45.5%) patients. Biochemical and radiological recovery was reported for 10 (12.6%) and 9 (11.3%) patients, respectively. Death was reported in 18 (22.7%) patients. Conclusion A high degree of clinical suspicion and different modalities of investigations are essential in the diagnosis of AP in leptospirosis. AP can be easily missed in leptospirosis because both conditions share similar clinical presentations and complications. Because of the high prevalence of acute kidney injury, judicious fluid management and close monitoring are mandatory.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…AXR was performed in five (6.3%) patients, and the presence of dilated intestinal loops (n = 2, 2.5%) was the most common finding ( Table 3 ). 3 , 6 , 8 , 11 – 15 , 17 , 19 , 21 – 47 …”

Section: Resultsmentioning

confidence: 99%

“…Atrial fibrillation (n = 4, 5.0%), bradycardia (n = 4, 5.0%), and meningitis (n = 2, 2.5%) were other notable complications ( Table 4 ). 3 , 6 , 8 , 11 – 15 , 17 , 19 , 21 – 47 …”

Section: Resultsmentioning

confidence: 99%

“…A judicious fluid regimen was used in six (7.5%) patients, and a liberal fluid regimen was used in one (1.2%) patient ( Table 4 ). 3 , 6 , 8 , 11 – 15 , 17 , 19 , 21 – 47 …”

Section: Resultsmentioning

confidence: 99%

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