Acute edematous pancreatitis secondary to complicated leptospirosis

Authors

Keywords:

Weil's disease, leptospirosis, pancreatitis.

Abstract

Introduction: Acute pancreatitis is defined as acute inflammation of the pancreas as a consequence of intrinsic enzymatic activity. Its presentation secondary to complicated leptospirosis is rare and poorly documented.
Objective: To describe a case of acute pancreatitis due to complicated leptospirosis.
Case presentation: 54-year-old patient, white, male, agricultural worker. She presented a fever of 38 ⁰C (which subsided with antipyretics), arthralgia, myalgia, headache, low back pain, and abdominal pain in the epigastrium. Complicated leptospirosis was diagnosed. He manifested unfavorable clinical evolution with increased and variability of abdominal pain. An exploratory laparotomy was operated urgently, edematous acute pancreatitis was confirmed. He presented favorable clinical evolution.
Conclusions: Acute pancreatitis secondary to complicated leptospirosis is a rare and atypical form of presentation. The clinical picture can be confused by other diseases; hence the importance of timely use of the clinical method and prevent complications.

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Author Biographies

Luis Enrique Jiménez-Franco, Universidad de Ciencias Medicas de Cienfuegos

Universidad de Ciencias Médicas de Cienfuegos. Facultad de Ciencias Médicas Dr. Raúl Dorticós Torrado. Cienfuegos, Cuba

Dianelys María Gutiérrez-Pérez, Universidad de Ciencias Médicas de Cienfuegos. Facultad de Ciencias Médicas Dr. Raúl Dorticós Torrado. Cienfuegos, Cuba.

Universidad de Ciencias Médicas de Cienfuegos. Facultad de Ciencias Médicas Dr. Raúl Dorticós Torrado. Cienfuegos, Cuba

Naila García-Pérez, Universidad de Ciencias Médicas de Cienfuegos, Hospital Provincial Universitario Clínico-Quirúrgico Dr. Gustavo Aldereguía Lima. Cienfuegos, Cuba.

Universidad de Ciencias Médicas de Cienfuegos, Hospital Provincial Universitario Clínico-Quirúrgico Dr. Gustavo Aldereguía Lima. Cienfuegos, Cuba.

Alejandro Sirio-Vázquez, Universidad de Ciencias Médicas de Cienfuegos, Hospital Provincial Universitario Clínico-Quirúrgico Dr. Gustavo Aldereguía Lima. Cienfuegos, Cuba

Universidad de Ciencias Médicas de Cienfuegos, Hospital Provincial Universitario Clínico-Quirúrgico Dr. Gustavo Aldereguía Lima. Cienfuegos, Cuba

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Published

2023-05-13

How to Cite

1.
Jiménez-Franco LE, Gutiérrez-Pérez DM, García-Pérez N, Sirio-Vázquez A. Acute edematous pancreatitis secondary to complicated leptospirosis. Rev Cubana Med Milit [Internet]. 2023 May 13 [cited 2025 Jan. 8];52(2):e02302369. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2369

Issue

Vol. 52 No. 2 (2023): April - June

Section

Case Presentation

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