Infect Chemother.
2004 Oct;36(5):321-325.
A Case of Weil's Disease associated with Acute Pancreatitis
- Affiliations
-
- 1Department of Internal Medicine, Yonsei University School of Medicine, Seoul, Korea. imfell@yumc.yonsei.ac.kr
- 2Division of Rickettsia & Zoonotic Disease, Department of Bacteriology, National Institute of Health, Korea.
Abstract
- Leptospirosis is a zoonotic disease of worldwide distribution that is caused by spirochetes known as Leptospira; more than 20 serogroups and more than 200 serovars are known. The disease has seasonal incidence occurring in the late summer or early fall. The typical severe case of leptospirosis is known as Weil's disease; it is characterized by hepatic and renal involvement and is common in Korea. Elevated amylase can be seen when ARF is associated but true acute pancreatitis is an uncomon complication of leptospirosis and only seven cases of well documented pancreatitis have been described abroad, with there was no case report in Korea yet. We experienced a 55-year old male patient who had Weil's disease associated with acute pancreatitis which was confirmed by elevated amylase and lipase with pancreatic swelling and peripancreatic fat infiltration on abdomen CT.
