Volume 76, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


We report a fatal case of anicteric leptospirosis with pancreatitis (acute hyperglycemia and insulin requirement, elevated lipase and amylase levels), pulmonary infiltrates, and refractory shock. In disease-endemic areas, leptospirosis with pancreatitis should be considered in patients with fever and abdominal pain, and serum pancreatic enzymes, blood glucose, and serum electrolytes should be closely monitored.


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  • Received : 09 Jun 2006
  • Accepted : 05 Feb 2007
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