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J Microbiol Immunol Infect · Dec 2003
Case ReportsAcute acalculous cholecystitis and pancreatitis in a patient with concomitant leptospirosis and scrub typhus.
- Ning-Chi Wang, Yuen-Hua Ni, Ming-Yieh Peng, and Feng-Yee Chang.
- Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
- J Microbiol Immunol Infect. 2003 Dec 1; 36 (4): 285-7.
AbstractConcomitant leptospirosis and scrub typhus is rare. The spectrum of clinical severity for both scrub typhus and leptospirosis ranges from mild to fatal. Acute pancreatitis and cholecystitis are infrequent complications in adult patients with either leptospirosis or scrub typhus. We report a case of leptospirosis and scrub typhus coinfection in a 41-year-old man presenting with acute acalculous cholecystitis, pancreatitis and acute renal failure. Abdominal computed tomography revealed edematous change of the gallbladder without intrahepatic or pancreatic lesions. The patient was successfully treated with doxycycline and ceftriaxone, and supportive management.
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