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KMID : 0984720040360050321
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Infection and Chemotherapy
2004 Volume.36 No. 5 p.321 ~ p.325
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A Case of Weil´s Disease associated with Acute Pancreatitis.
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Lee Kuen-Man
Choi Jun-Yong
Park Yoon-Soo
Cho Cheong-Ho
Song Young-Goo
Kim June-Myung
Lee Byoung-Chul
Kim Joo-Hee
Yoon Hee-Jung
Choi Jae-Pil
Choi Sung-Ho
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Abstract
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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.
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KEYWORD
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Leptospirosis, Well´s disease, Acute pancreatltis
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