Author/Authors :
Lim, Sazlyna Mohd Sazlly Universiti Putra Malaysia - Faculty of Medicine and Health Sciences - Department of Medicine, Malaysia , Hoo, Fankee Universiti Putra Malaysia - Faculty of Medicine and Health Sciences - Department of Medicine, Malaysia , Sulaiman, Wan Aliaa Wan Universiti Putra Malaysia - Faculty of Medicine and Health Sciences - Department of Medicine, Malaysia , Ramachandran, Vasudevan Universiti Putra Malaysia - Institute of Gerontology, Malaysia , Siew-Mooi, Ching Universiti Putra Malaysia - Faculty of Medicine and Health Sciences - Department of Family Medicine, Malaysia
Abstract :
Leptospirosis typically presents with fever and thrombocytopenia, with or without jaundice. Acute necrotising pancreatitis and acalculous cholecystitis are rare presentations of this spirochetal infection. Here is the case of necrotising pancreatitis and acalculous cholecystitis associated with leptospirosis in an elderly patient. Leptospirosis was diagnosed by serological tests and abdominal CT imaging. The patient was successfully treated medically with intravenous antibiotics (imipenem and ceftriaxone) and proper hydration.
Keywords :
Leptospirosis , Pancreatitis , Cholecystitis , Case report