ArticleBMC infectious diseases2016
Severe leptospirosis and pancreatitis; A case series from a leptospirosis outbreak in Anuradhapura district, Sri Lanka.
Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Clinical characteristics and outcomes of patients with leptospirosis complicated with acute pancreatitis: a systematic review.The Journal of international medical research · 2023Pooled it
- Estimating the burden of leptospirosis in Sri Lanka; a systematic review.BMC infectious diseases · 2019Pooled it
- Bowel Necrosis in Leptospirosis: A Case Series of a Rare Complication.Case reports in infectious diseases · 2025Article
- An Insight Into Various Manifestations of Leptospirosis: A Unique Case Series From a State in Eastern India.Cureus · 2024Article
- Article
- Incidence of acute pancreatitis among patients with leptospirosis requiring extracorporeal membrane oxygenation (ECMO): a descriptive study.BMJ open gastroenterology · 2023Article
- Severe Acute Pancreatitis Associated with Weil's Disease.Middle East journal of digestive diseases · 2023Article
- Weil's Disease-Immunopathogenesis, Multiple Organ Failure, and Potential Role of Gut Microbiota.Biomolecules · 2022Review
- SARIMA and ARDL models for predicting leptospirosis in Anuradhapura district Sri Lanka.PloS one · 2022Article
- Leptospirosis in Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
- Acute painless pancreatitis as an unusual presentation of leptospirosis in a low-incidence country.BMJ case reports · 2020Article
- Multilocus sequence typing reveals diverse known and novel genotypes of Leptospira spp. circulating in Sri Lanka.PLoS neglected tropical diseases · 2020Article
- Leptospirosis as an unusual culprit of acute pancreatitis and portal vein thrombosis in a New Yorker.Clinical case reports · 2020Article
- A case with high bilirubinemia and hemolytic anemia during leptospirosis and a short review of similar cases.Caspian journal of internal medicine · 2020Article
- Sequel and therapeutic modalities of leptospirosis associated severe pulmonary haemorrhagic syndrome (SPHS); a Sri Lankan experience.BMC infectious diseases · 2019Article
- Acute pancreatitis and vasoplegic shock associated with leptospirosis - a case report and review of the literature.BMC infectious diseases · 2019Review
- An outbreak of leptospirosis with predominant cardiac involvement: a case series.BMC infectious diseases · 2019Article
- Pancreatitis as a severe complication of leptospirosis with fatal outcome: a case report.Revista do Instituto de Medicina Tropical de Sao Paulo · 2019Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundAcute pancreatitis is identified as an atypical and rare presentation of leptospirosis. In this report, we discuss a case series of severe leptospirosis with pancreatitis as a main complication during an unusual outbreak of leptospirosis in Anuradhapura district, Sri Lanka. CASE PRESENTATION: We retrospectively reviewed clinical presentation, investigations, treatment and outcome of six confirmed cases of severe leptospirosis admitted to intensive care unit (ICU) of Teaching Hospital, Anuradhapura, within a three months period from November 2014 to January 2015. All six patients were previously healthy paddy farmers presented with fever, myalgia and arthralgia. Four patients had abdominal pain, nausea and vomiting on admission. Hypotension, Neutrophilic leukocytosis and thrombocytopaenia was detected in all patients in the initial stage. Four patients had serum amylase more than 900 (range 941-2420). All patients had acute kidney injury and hepatitis. Significantly elevated amylase and low serum calcium were present in 4 cases. Five patients recovered without any evidence of residual organ damage, but one succumbed to the illness.
conclusionThis case series emphasizes the importance of identification of acute pancreatitis as a common complication of Leptospirosis, in order to reduce mortality and morbidity.
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