Leptospirosis and liver abscess: an unusual association

  • Pedro Ribeirinho Soares Department of Internal Medicine, University Hospital Center of São João, E.P.E., Porto, Portugal
  • Miguel Souto Cinical Pharmacology Unit, University Hospital Center of São João, E.P.E, Porto, Portugal
  • Jorge Almeida Department of Internal Medicine, University Hospital Center of São João, E.P.E, Porto, Portugal
DOI: https://doi.org/10.12890/2023_003783

Keywords

Leptospirosis, zoonosis, liver abscess

Abstract

Leptospirosis is a zoonotic infection infrequently reported in non-tropical regions. Although classically described as a biphasic illness, unusual clinical manifestations have been reported, including a previous case of a lung abscess associated with this causative agent. We present the case of a 49-year-old man with a new diagnosis of two liver abscesses associated with leptospirosis.

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References

  • Chaikajornwat J, Rattanajiajaroen P, Srisawat N, Kawkitinarong K. Leptospirosis manifested with severe pulmonary haemorrhagic syndrome successfully treated with venovenous extracorporeal membrane oxygenation. BMJ Case Rep 2020;13:e230075.
  • Alvarado-Esquivel C, Sánchez-Anguiano LF, Hernández-Tinoco J, Ramos-Nevárez A, Margarita Cerrillo-Soto S, Alberto Guido-Arreola C. Leptospira exposure and patients with liver diseases: a case-control seroprevalence study. Int J Biomed Sci 2016;12:48–52.
  • Costa F, Hagan JE, Calcagno J, Kane M, Torgerson P, Martinez-Silveira MS, et al. Global morbidity and mortality of leptospirosis: a systematic review. PLoS Negl Trop Dis 2015 9:e0003898.
  • Abgueguen P, Pichard E. Leptospirosis. Rev Prat 2009;59:665–673.
  • Ciceroni L, Stepan E, Pinto A, Pizzocaro P, Dettori G, Franzin L, et al. Epidemiological trend of human leptospirosis in Italy between 1994 and 1996. Eur J Epidemiol 2000;16(1):79–86.
  • Granito A, Ballardini G, Fusconi M, Volta U, Muratori P, Sambri V, et al. A case of leptospirosis simulating colon cancer with liver metastases. World J Gastroenterol 2004;10:2455–2456.
  • Kozielewicz D, Karwowska K, Halota W. Leptospirosis--disease with many faces. Pol Merkur Lekarski 2013;35:279–282.
  • Shintaku M, Itoh H, Tsutsumi Y. Weil’s disease (leptospirosis) manifesting as fulminant hepatic failure: report of an autopsy case. Pathol Res Pract 2014;210:1134–1137.
  • Winter RJ, Richardson A, Lehner MJ, Hoffbrand BI. Lung abscess and reactive arthritis: rare complications of leptospirosis. Br Med J (Clin Res Ed) 1984;288:448–449.
  • Khanna P, Khanna A. Pyogenic liver abscess and acute leptospirosis: a rare coexistence. J Family Med Prim Care 2022;11:5716–5717.
  • Sotto Mayor J, Robalo MM, Pacheco AP, Esperança S. Pyogenic liver abscess: uncommon presentation. BMJ Case Rep 11;2016:bcr2016214841.
  • Kaplan GG, Gregson DB, Laupland KB. Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess. Clin Gastroenterol Hepatol 2004;2:1032.
  • Ahmed M, Alam J, Hussain S, Aslam M. Prospective randomized comparative study of percutaneous catheter drainage and percutaneous needle aspiration in the treatment of liver abscess. ANZ J Surg 2021;91:E86.
  • Kulhari M, Mandia R. Prospective randomized comparative study of pigtail catheter drainage versus percutaneous needle aspiration in treatment of liver abscess. ANZ J Surg 2019;89:E81–E86.
  • Wysocki J, Liu Y, Shores N. Leptospirosis with acute liver injury. Proc (Bayl Univ Med Cent) 2014 Jul;27:257–258.
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    Published: 2023-03-18

    Issue: 2023: Vol 10 No 3 (view)

    Section: Articles

    How to cite:
    1.
    Ribeirinho Soares P, Souto M, Almeida J. Leptospirosis and liver abscess: an unusual association. EJCRIM 2023;10 doi:10.12890/2023_003783.

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