Satiya Jinendra, Gupta Niyati M, Parikh Malav P
Internal Medicine, Metropolitan Hospital, New York City, USA.
Gastroenterology and Hepatology, State University of New York Downstate Medical Center, Brooklyn, USA.
Cureus. 2020 Jun 3;12(6):e8428. doi: 10.7759/cureus.8428.
Weil's disease is a complication of untreated leptospirosis and can be fatal. Awareness of leptospirosis and its hepatic manifestations are limited. We report the case of a 50-year-old man with gastrointestinal symptoms and a cholestatic pattern of liver injury diagnosed with Weil's disease. The patient showed remarkable improvement after treatment with appropriate antibiotics with normalization of liver function in one month. This case highlights the importance of recognizing leptospirosis and its myriad presentations.
魏尔氏病是未经治疗的钩端螺旋体病的一种并发症,可能会致命。对钩端螺旋体病及其肝脏表现的认识有限。我们报告一例50岁男性病例,该患者有胃肠道症状及胆汁淤积型肝损伤,被诊断为魏尔氏病。患者经适当抗生素治疗后显著好转,肝功能在一个月内恢复正常。该病例突出了认识钩端螺旋体病及其众多表现形式的重要性。