:: Volume 5, Issue 3 (9-2016) ::
Int J Med Invest 2016, 5(3): 129-131 Back to browse issues page
Bloody diarrhea: A rare chief complain of leptospirosis
Narges Najafi * , Iman Sadeghian , Fatemeh Ahangarkani , Roya Sheikholeslami , Lotfollah Davoodi
Antimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (9398 Views)
Objective: Leptospirosis is one of the most common zoonosis diseases that presents by involvement of different systems. This infectious disease ranges from mild to very severe but bloody diarrhea is not a known clinical primary manifestation of the illness. Case Presentation: We describe a patient with leptospirosis who was admitted because of bloody diarrhea in the beginning. The patient admitted as a probable shigellosis case. Diagnosis of leptospirosis was confirmed based on result of Leptospira microscopic agglutination test (MAT). After 7 days treatment he made a complete recovery and was discharged. Conclusion: Although leptospirosis with presentation of bloody diarrhea is an unusual report. Leptospirosis should be considered in all febrile patients particularly in farmers endemic area.
Keywords: Leptospirosis, Diarrhea, MAT, Zoonosis
Full-Text [PDF 249 kb]   (2405 Downloads)    
Type of Study: case report | Subject: General
References
1. 1. V.L. Andre, D. Diamen, R.T. Jaime. Leptospirosis in Latin America. Infect Dis Clin North Am 2000; 14: 23-9. 2. S. Faines. Guidelines for control of leptospirosis. Geneva, World Health Organisation offset Publication 1982; 67. 3. T.J. John. Emerging and re-emerging bacterial pathogens in India. Indian J Med Res 1996; 103:4-18. 4. Leptospirosis. India. Report of the investigation of a post-cyclone outbreak in Orissa. November, 1999. Wkly Epidemiol Rec 2000; 75: 217-23. 5. R. Feigin, D. Anderson. Leptospirosis. In: Feigin R, Cherry J. editors. Textbook of Pediatric Inectious diseases, 3rd Edn. Philadelphia: W.B. Saunders; 1992; 1167-83. 6. S. Gulati, S. Menon, M. Kabra et al Leptospirosis: A case report. Pediatr Today, 2002;7: 428-33. 7. S. Faine, B. Adler, C. Bolin. Leptospira and leptospirosis. 2nd ed. Melborne, Australia: MediSci; 1999. 8. P. Azimi: Spirochetal Infections. In: W.E. Nelson, R.E. Behrman, R.M. Kliegman, et al, editors. Nelson Textbook of Pediatrics, 18th edn.vol:1, Philadelphia: W.B. Saunders Company; 2008; 1271-73. 9. B. Verma, S.R. Daga, D. Sawant. leptospirosis in children. Indian Pediatrics 2003; 40:1081-3. 10. S. Rajajee, J. Shankar, L. Dhattatri. Pediatric presentations of leptospirosis. Indian J Pediatr 2002; 69:851-3. 11. Heath CW Jr, Alexander AD, Galton MM. Leptospirosis in the United States: analysis of 483 cases in man, 1949–1961. N Engl J Med 1965; 273:857–864. 12. Goldstein EJC. Household pets and human infections. Infect Dis Clin North Am 1991; 5:117–130. 13. Feigin RD, Anderson DC. Human leptospirosis. Crit Rev Clin Lab Sci 1975; 5:413–465. 14. Watt G. Leptospirosis. Curr Opin Infect Dis 1992; 5:659–663. 15. Farr RW. Leptospirosis. Clin Infect Dis 1995; 21:1–8. 16. Heath CW, Alexander AD, Galton MM. Leptospirosis in the United States: analysis of 483 cases in man, 1949–1961N Engl J Med 1965; 273:857–864. 17. O’Neil KM, Rickman LS, Lazarus AA. Pulmonary manifestations of leptospirosis. Rev Infect Dis 1991; 13:705–709. 18. Edwards GA, Domm BM. Human leptospirosis. Medicine 1960; 39:117–156. 19.Lecour H, Miranda M, Magro C, Rocha A, Goncalves V. Human leptospirosis-a review of 50 cases. Infection 1989; 17: 8-12. 20. Yiu MW, Ooi GC, Yuen KY, Tsang KW, Lam WK, Chan FL. High resolution CT of Weil’s disease. Lancet 2003; 362: 117. 21. Granito A, Ballardini G, Fusconi M, Volta U, Muratori P, Sambri V, Battista G, Bianchi FB. A case of leptospirosis simulating colon cancer with liver metastases. World J Gastroenterol 2004; 10(16): 2455-2456.

XML     Print

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 5, Issue 3 (9-2016) Back to browse issues page