Leptospirosis presenting as acute acalculous cholecystitis

Davies, Peter M.; Aoyagi, Yuki

doi:10.1002/ccr3.1173

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…In cases of autoimmune diseases, ischemia due to visceral vasculitis is the implicating causative agent [39]. Endothelial dysfunction and vasculitis are also implicated in cases that AAC is the result of uncommon infections, such as leptospirosis and scrub typhus [40,41]. It is obvious that in a patient with AAC more than one among the aforementioned mechanisms can be present, depending on the patient's underlying disease.…”

Section: Resultsmentioning

confidence: 99%

Acute Acalculous Cholecystitis Associated with Epstein–Barr Infection: A Case Report and Review of the Literature

Ntelis

Mazarakis

Sapountzis

et al. 2020

Case Reports in Medicine

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The most common cause of acute cholecystitis (ACC) is cholelithiasis. Acute acalculous cholecystitis (AAC) is well documented in the literature related with critical illness, but viral causes such as cytomegalovirus (CMV) and Epstein–Barr virus (EBV) have also been reported. We present a rare manifestation of EBV infection, reporting a case of a 15-year-old female suffering from acute acalulous cholecystitis, and we review the relevant literature. Clinicians should be aware of this rare complication of EBV infection and properly exclude it in young patients with cholecystitis.

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Section: Resultsmentioning

confidence: 99%

Acute Acalculous Cholecystitis Associated with Epstein–Barr Infection: A Case Report and Review of the Literature

Ntelis

Mazarakis

Sapountzis

et al. 2020

Case Reports in Medicine

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“…Acalculous cholecystitis is an under-recognized presentation of acute leptospirosis. In the literature, many cases had experienced cholecystectomy with antibiotic treatment in the therapy (8).…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcome of Leptospirosis: A Fatal Case Report

Bukharina¹

2019

Erciyes Med J

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Leptospirosis is a widespread zoonotic disease that is commonly seen in temperate and tropical areas. Here, we have presented a case report of fatal leptospirosis with thrombocytopenia and renal failure. A 22-year-old male soldier was referred to the infectious diseases clinic with complaints of fever, headache, dizziness, sore throat, and weakness. He had a history of staying in a village and tick removal from his head. An extended polymorphic rash on the whole body, congestion on the sclera, hyperemic pharynx, and hepatomegaly were observed. Laboratory examination revealed leukocytosis and impaired liver and kidney function tests. Antibiotic therapy with penicillin G and gentamicin was started with the pre-diagnosis of leptospirosis. The main diagnosis was confirmed by passive hemagglutination test positivity. On day 5 of treatment, bleeding continued, and hemodialysis was performed. The patient died on day 6 of treatment. The physicians should be aware about the clinical presentations of Leptospira infections in endemic areas.

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“…After review of the literature, one study concluded that in 6 of 14 reported cases, serovars belonging to L . interrogans were identified as the cause of AAC [ 9 ]. Furthermore, this study describes a case of AAC caused by L .…”

Section: Answer and Discussionmentioning

confidence: 99%