Pancreatitis as a severe complication of leptospirosis with fatal outcome: a case report.
Pedro Eduardo Andrade de Carvalho GomesSávio de Oliveira BrilhanteRachel Bezerra CarvalhoDaniel Ribeiro de SousaElizabeth de Francesco DaherPublished in: Revista do Instituto de Medicina Tropical de Sao Paulo (2019)
Leptospirosis is a globally distributed zoonosis with a broad clinical spectrum. This disease mostly affects liver and kidney tissues. Other organs such as the pancreas, can be affected by leptospirosis-induced vasculitis. In addition, cardiac manifestations are common, and the presence of transient ECG abnormalities can be found in 70% of the patients. We report a male patient who presented with an atypical leptospirosis that progressed with severe acute pancreatitis, acute kidney injury and atrial fibrillation. Early diagnosis and adequate supportive therapy are crucial for the appropriated management of symptoms.
Keyphrases
- acute kidney injury
- atrial fibrillation
- end stage renal disease
- early onset
- newly diagnosed
- ejection fraction
- chronic kidney disease
- drug induced
- gene expression
- heart failure
- cardiac surgery
- case report
- prognostic factors
- heart rate
- heart rate variability
- stem cells
- percutaneous coronary intervention
- mesenchymal stem cells
- physical activity
- catheter ablation
- left atrial
- coronary artery disease
- patient reported outcomes
- brain injury
- sleep quality
- neural network