+1 (629)348-3199A CASE REPORT: ACUTE PANCREATITIS AS A RARE COMPLICATION OF WEILâÂÂS DISEASE IN INDONESIA
2nd Global Congress on BACTERIOLOGY AND INFECTIOUS DISEASES
June 12-13, 2019 | Bangkok, Thailand
Amrina Rasyada, Salwa and Arlyando Saragih
Hermina Jatinegara Hospital, Indonesia
Posters & Accepted Abstracts : J Bacteriol Infec Dis
Abstract:
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 manifestation
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 pancreatitis.
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 finding
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.
Biography:
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.
E-mail: rinaarasyada@yahoo.co.id salwa.badruddin@gmail.com
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