Leptospire Endocarditis and Staphylococcus aureus Bacteremia Presenting With Cardiac Aneurysm and Multiple Infarcts of Brain, Liver, and Kidneys

Wang, Lih-shinn; Wang, Chia-ching Jackie; Tsai, Pei-Jane; Hsu, Yung‐Hsiang; Chang, Bee-Song; Su, C.; Low, Tissot; Ho, Yew Kam; Chong, Pau-Nyen; Chow, Shao-Bing; Ling, Shin-Zhong

doi:10.1097/ipc.0b013e31811511b5

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…7 We have reported an interesting case of neuroleptospirosis presenting as Leptospira brain abscess and endocarditis complicated with cardiac aneurysm and multiple infarcts of brain, liver and kidneys, in association with S. aureus bacteremia. 8 We have also observed cases of neuroleptospirosis presenting as seizures, migraine headaches, multiple sclerosis, ataxia, carpal tunnel syndrome, radiculopathy and TolosaeHunt syndrome. 9 Deeply altered sensorium at presentation indicates poor prognosis.…”

Section: Discussionmentioning

confidence: 94%

Leptospirosis with transient paraparesis and thrombocytopenia: A case report

Wang

Huang

et al. 2012

Journal of Microbiology, Immunology and Infection

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Leptospirosis is the most widespread zoonosis in the world. We present an unusual case of leptospirosis in a 44-year-old man with severe thrombocytopenia and transient paraparesis. The diagnosis of leptospirosis was confirmed by blood nested polymerase chain reaction, seroconversion of Leptospira IgM and the microscopic agglutination test. Nerve conduction studies were suggestive of early polyneuropathy involving the right peroneal nerve and bilateral sural nerves. Peripheral nerve palsy is a potential clinical feature of leptospirosis.

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Section: Discussionmentioning

confidence: 94%

Leptospirosis with transient paraparesis and thrombocytopenia: A case report

Wang

Huang

et al. 2012

Journal of Microbiology, Immunology and Infection

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“…Some cases were associated with right-sided infective endocarditis ( 13 , 14 ). Although, to our knowledge, there are no reports on septic pulmonary embolism caused by Leptospira spp., however, they have been reported to form vegetation functioning as emboli, and thus cause infective endocarditis ( 18 ). In the present case, except for pulmonary lesions, there was no clear evidence of endocarditis.…”

Section: Discussionmentioning

confidence: 99%

Multiple Pulmonary Nodules in Leptospirosis

et al. 2020

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A 21-year-old man presented with the chief complaints of fever and sore throat after visiting Cambodia and Thailand. Computed tomography revealed multiple pulmonary nodules. After performing antibiotic therapy, the pulmonary nodules without bacteremia disappeared completely. Paired microscopic agglutination tests revealed seroconversion against Leptospira serogroup Autumnalis. Thus, he was diagnosed with multiple pulmonary nodules caused by leptospirosis. Leptospirosis is a common zoonosis that occurs in tropical and subtropical areas. Its various clinical features include unspecified fever and Weil's disease. Although diffuse alveolar hemorrhaging is known to occur in severe leptospirosis, multiple pulmonary nodules resembling septic emboli or vasculitis are a rare complication.

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