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Infectious Diseases Congress 2019
Journal of Bacteriology and Infectious Diseases | Volume 3
June 12-13, 2019 | Bangkok, Thailand
OF EXCELLENCE
IN INTERNATIONAL
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alliedacademies.comYEARS
BACTERIOLOGY AND INFECTIOUS DISEASES
2
nd
Global Congress on
Amrina Rasyada et al., J Bacteriol Infec Dis 2019, Volume 3
A CASE REPORT: ACUTE PANCREATITIS AS A RARE COMPLICATION OF WEIL’S DISEASE
IN INDONESIA
Amrina Rasyada, Salwa
and
Arlyando Saragih
Hermina Jatinegara Hospital, Indonesia
Background:
Weil’s disease is a severe form of leptospirosis and caused by a pathogenic strain of
Leptospira
,
one of rare clinical manifestation is acute pancreatitis. Diagnosis of acute pancreatitis based on clinical mani-
festation and laboratory finding. In this study, author reports that Weil’s disease with acute pancreatitis as the
main complication during the rainy season in Jakarta, Indonesia.
Case Presentation:
They reported a case of 43 years old man suffering Weil’s disease with acute pancreati-
tis. The patient complained with right upper abdominal pain (VAS 7-8), gastrocnemius pain, fever, vomitus,
jaundice, discoloration of stool, brown urination and history of digging the grave one week before admission.
Physical examination found hypotension, ictero hemorrhagic of sclera and epigastric pain. In laboratory find-
ing thrombocytopenia, increasing of bilirubin, ureum, creatinine, amylase and lipase, hypoalbuminemia and
negative hepatitis viral serologic; Abdominal ultrasonography found nephrolithiasis bilateral and full of sludge
in bile duct mimicking to cholelithiasis. 48 hours later, this patient had clinical regression and procalcitonin was
10, then admitted to the intensive care unit. They gave rehydration, inotropic, carbapenem class antibiotic and
supportive therapy. Two days later, IgM
leptospira
(+), decreasing of PCT, amylase and lipase, the clinical signs
improved. Then the patient recovered without sequelae after 11 days of admission.
Conclusion:
This rare case defined that acute pancreatitis should be identified early to reduce morbidity and
mortality rate in Weil’s disease.
Amrina Rasyada has been graduated from Faculty of Medicine of Andalas University as Medical Doctor. She works as a full timer
General Practitioner in Hermina Jatinegara Hospital in emergency department.
rinaarasyada@yahoo.co.id salwa.badruddin@gmail.comBIOGRAPHY