Biliary Obstructive Syndrome as an Atypical Manifestation of Weil’s Disease: A Case Series

Authors

DOI:

https://doi.org/10.22516/25007440.1080

Keywords:

Weil’s disease, Leptospirosis, Choledocholithiasis

Abstract

Leptospirosis is a systemic zoonotic infection transmitted through the skin, mucous membranes, or ingestion of water contaminated with pathogenic spirochetes of the genus Leptospira in infected mammals and rodents. It appears with nonspecific symptoms of acute onset associated with abdominal pain, subconjunctival hemorrhage, and jaundice, which usually has complete resolution in the majority of patients. However, in a lower percentage, it can progress, causing severe systemic complications, with a high risk of mortality mainly due to acute kidney failure, liver dysfunction associated with jaundice, and hemorrhages, called Weil syndrome or icterohemorrhagic fever.

We present a series of cases of patients with biliary obstruction as the primary manifestation of severe leptospirosis.

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Author Biographies

Maria Paula Forero Rios, Pontificia Universidad Javeriana

Médico Cirujano, Universidad El Bosque. Asistente de investigación. Bogotá, Colombia.

Diego Fernando Salcedo Miranda, Universidad El Bosque

Medico Cirujano, Fellow Cirugía de Tórax. Universidad El Bosque. Bogotá, Colombia.

Fabian E Puentes M, Universidad de Caldas

Gastroenterólogo clínico quirúrgico. Unión de Cirujanos. Manizales, Colombia.

Diego Alejandro Dussan , Universidad de Caldas

Médico especialista en cirugía general - Fellow Gastroenterología clínico quirúrgico. Manizales, Colombia.

Mauricio Martinez Ramirez, Universidad El Bosque

Médico Cirujano, Universidad El Bosque. Bogotá, Colombia.

References

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Published

2024-03-20

How to Cite

Forero Rios, M. P., Salcedo Miranda, D. F., Puentes M, F. E., Dussan , D. A., & Martinez Ramirez, M. (2024). Biliary Obstructive Syndrome as an Atypical Manifestation of Weil’s Disease: A Case Series. Revista Colombiana De Gastroenterología, 39(1), 112–116. https://doi.org/10.22516/25007440.1080

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Case report

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