Jiang Karen, Bazarbashi Ahmad Najdat, Dahdal Sami, Voiculescu Adina, Khalaf Natalia
Division of Hospital Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, MA, USA.
Case Reports Hepatol. 2018 Aug 23;2018:5876718. doi: 10.1155/2018/5876718. eCollection 2018.
Leptospirosis is a common bacterial disease in tropical regions of the world due to greater exposure to rodents and domestic animals; however, this condition can also occur in US urban areas, though it often goes unrecognized. Gastrointestinal symptoms are very commonly seen, and icteric leptospirosis is often confused for other conditions resulting in delayed diagnosis and worse outcomes. As mortality increases with more extensive hepatic involvement, gastroenterologists should be aware of the constellation of gastrointestinal symptoms related to leptospirosis, as it can occur in the absence of classic exposure history.
钩端螺旋体病是一种在世界热带地区常见的细菌性疾病，因为人们更多地接触啮齿动物和家畜；然而，这种疾病在美国城市地区也可能发生，尽管它常常未被识别。胃肠道症状非常常见，黄疸型钩端螺旋体病常被误诊为其他疾病，导致诊断延迟和预后更差。由于随着肝脏受累范围扩大死亡率会增加，胃肠病学家应了解与钩端螺旋体病相关的一系列胃肠道症状，因为在没有典型暴露史的情况下也可能发生。
