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 OJCD  Vol.4 No.2 , June 2014
An Unusual Presentation of Leptospirosis: A Case Report
Abstract: Leptospirosis is a life-threatening zoonotic disease of global distribution. It has variable presentation ranging from mild febrile illness to life-threatening complications like acute renal failure, acute hepatic failure, pulmonary hemorrhages and cardiac arrhythmias. Cardiac manifestations of leptospirosis are not uncommon but are underdiagnosed. Cardiac manifestations may vary from minor rhythm abnormalities to fatal ventricular arrhythmias. We report an unusual presentation of leptospirosis in a patient who presented to the Emergency Department with epigastric pain and congestive cardiac failure with rhythm disturbances and selective myocardial involvement mimicking as Non ST elevation Inferior wall myocardial infarction (NSTEMI). The Cardiac manifestations of Leptospirosis need meticulous intensive care management as the mortality rate is very high in this subset of patients. Index suspicion and early treatment remains the mainstay of this life threatening zoonotic disease.
Cite this paper: Jawanjal, M. , Patil, S. , Pendse, M. , Bhate, A. and Hooda, S. (2014) An Unusual Presentation of Leptospirosis: A Case Report. Open Journal of Clinical Diagnostics, 4, 112-116. doi: 10.4236/ojcd.2014.42018.
References

[1]   Paul, N.V., et al. (2001) Leptospira Species (Leptospirosis). Infectious Diseases and Their Etiologic Agents.

[2]   Vinetz, J.M. (2001) Leptospirosis. Current Opinion in Infectious Diseases, 14, 527-538.
http://dx.doi.org/10.1097/00001432-200110000-00005

[3]   Leblebicioglu, H., Sencan, I., Sunbul, M., et al. (1996) Weil’s Disease: Report of 12 Cases. Scandinavian Journal of Infectious Diseases, 28, 637-639.
http://dx.doi.org/10.3109/00365549609037976

[4]   Henry, W.L., De Maria, A., Gramiak Henry, W.L., et al. (1980) Report of the American Society of Echocardiography Committee on Nomenclature and Standards in Two-Dimensional Echocardiography. Circulation, 62, 212-217. http://dx.doi.org/10.1161/01.CIR.62.2.212

[5]   Levett, P.N. (2001) Leptospirosis. Clinical Microbiology Reviews, 14, 296-326.
http://dx.doi.org/10.1128/CMR.14.2.296-326.2001

[6]   Rajajee, S., Shankar, J. and Dhattatri, L. (2002) Pediatric Presentations of Leptospirosis. Indian Journal of Pediatrics, 69, 851-853.

[7]   Ram, P. and Chandra, M.S. (1985) Unusual Electrocardiographic Abnormality in Leptospirosis: Case Reports. Angiology, 36, 477-482. http://dx.doi.org/10.1177/000331978503600711

[8]   Vijayachari, P., Sinha, A., et al. (1999) Clinico-Epidemiological Study of Hospitalized Cases of Severe Leptospirosis. Indian Journal of Medical Research, 109, 94-99.

[9]   Mel’nik, G.V., Degtiar, L.D. and Andreev, R.E. (1999) Cardiovascular Function in Leptospirosis Convalescents. Tekrapevticheskii Arkhiv, 71, 32-34.

[10]   Artigou, J.Y., Chauvet, J.P., Clergue, F., et al. (1986) Acute Myocarditis Disclosing Leptospirosis. Annales de Cardiologie Angiologie (Paris), 35, 387-389.

 
 
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