Download PDF
J Pediatr Infect Dis 2016; 11(04): 133-135
DOI: 10.1055/s-0036-1593887
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Ascites, Pleural Effusion, and Edematous Gallbladder Wall: A Rare Finding of Leptospirosis

K. Jagdish Kumar
1   Department of Pediatrics, JSS Medical College, Mysore, Karnataka, India
,
Sharief Hamza
1   Department of Pediatrics, JSS Medical College, Mysore, Karnataka, India
,
Kavya Kurthkal
1   Department of Pediatrics, JSS Medical College, Mysore, Karnataka, India
,
G. S. Sowmya
2   Department of Microbiology, JSS Medical College, Mysore, Karnataka, India
› Author Affiliations
Further Information

Publication History

07 July 2016

26 September 2016

Publication Date:
12 December 2016 (online)

    Permissions and Reprints

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.

Keywords

leptospirosis - ascites - pleural effusion - edematous gallbladder wall
 

  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 3 Dutta TK, Christopher M. Leptospirosis–an overview. J Assoc Physicians India 2005; 53: 545-551
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 6 Kean TG. Acalculous cholecystitis as a presenting sign of leptospirosis in two children. J Paediatr Child Health 2014; 19: 48-55
    PubMedGoogle Scholar
  • 7 Wang SC, Wang YM. Leptospirosis: report of one case. J Microbiol Immunol Infect 1999; 32 (2) 129-132
    PubMedGoogle Scholar
  • 8 Vilaichone RK, Mahachai V, Wilde H. Acute acalculous cholecystitis in leptospirosis. J Clin Gastroenterol 1999; 29 (3) 280-283
    CrossrefPubMedGoogle Scholar
  • 9 Tanomkiat W, Poonsawat P. Pulmonary radiographic findings in 118 leptospirosis patients. Southeast Asian J Trop Med Public Health 2005; 36 (5) 1247-1251
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar