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DOI: 10.1055/s-0036-1593887
Ascites, Pleural Effusion, and Edematous Gallbladder Wall: A Rare Finding of Leptospirosis
Publication History
07 July 2016
26 September 2016
Publication Date:
12 December 2016 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00029028/201604/lookinside/thumbnails/10-1055-s-0036-1593887_1600017-1.jpg)
Abstract
In children, leptospirosis is generally underdiagnosed, especially if the presentation is without jaundice. Such cases can be confused with more common illnesses such as dengue or scrub typhus in the tropical countries. Having a specific drug therapy for treatment makes the early etiological diagnosis of leptospirosis much more important. Leptospirosis may present with an atypical presentation also. Serosal surface and gallbladder wall involvement are rare in leptospirosis. We report a 12-year-old boy with leptospirosis, who presented with meningoencephalitis, thrombocytopenia, shock, and ultrasonography revealed ascites, a pleural effusion, and an edematous gallbladder wall.
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References
- 1 Libraty DH, Myint KSA, Murray CK , et al. A comparative study of leptospirosis and dengue in Thai children. PLoS Negl Trop Dis 2007; 1 (3) e111
- 2 Efe C, Nasirğlu N, Ozaslan E, Yuksel O, Tunca H, Sennaroglu E. Ascites and peritonitis due to leptospirosis. Eur J Gastroenterol Hepatol 2010; 22 (3) 376-377
- 3 Dutta TK, Christopher M. Leptospirosis–an overview. J Assoc Physicians India 2005; 53: 545-551
- 4 de Melo Bezerra LF, Fontes RM, Gomes AM, da Silva DA, Colares JK, Lima DM. Serological evidence of leptospirosis in patients with a clinical suspicion of dengue in the State of Ceará, Brazil. Biomedica 2015; 35 (4) 557-562
- 5 Erten N, Saka B, Karan MK, Tascioglu C, Polat E, Kaysi A. Leptospirosis presented with pericardial effusion, pleurisy and ascitis: Case report. Ist Tip Fak 2004; 67: 113-115
- 6 Kean TG. Acalculous cholecystitis as a presenting sign of leptospirosis in two children. J Paediatr Child Health 2014; 19: 48-55
- 7 Wang SC, Wang YM. Leptospirosis: report of one case. J Microbiol Immunol Infect 1999; 32 (2) 129-132
- 8 Vilaichone RK, Mahachai V, Wilde H. Acute acalculous cholecystitis in leptospirosis. J Clin Gastroenterol 1999; 29 (3) 280-283
- 9 Tanomkiat W, Poonsawat P. Pulmonary radiographic findings in 118 leptospirosis patients. Southeast Asian J Trop Med Public Health 2005; 36 (5) 1247-1251
- 10 Brown MG, Vickers IE, Salas RA, Smikle MF. Leptospirosis in suspected cases of dengue in Jamaica, 2002-2007. Trop Doct 2010; 40 (2) 92-94