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VOLUME 15 , ISSUE 2 ( April, 2011 ) > List of Articles

CASE REPORT

An unusual case of Weil′s syndrome with paraparesis

Virendra C. Patil, Harsha V. Patil, Amit Sakaria, Satish Tryambake

Keywords : Acute renal failure, leptospirosis, paraparesis, Weil′s syndrome

Citation Information : Patil VC, Patil HV, Sakaria A, Tryambake S. An unusual case of Weil′s syndrome with paraparesis. Indian J Crit Care Med 2011; 15 (2):130-133.

DOI: 10.4103/0972-5229.83014

License: CC BY-ND 3.0

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Leptospirosis is an important emerging zoonosis with a worldwide distribution that is characterized by a broad spectrum of clinical manifestations ranging from inapparent infection to fulminant disease. Leptospirosis has protean clinical manifestations. The classical presentation of the disease is an acute biphasic febrile illness with or without jaundice. Unusual clinical manifestations may result from involvement of pulmonary, cardiovascular, neural, gastrointestinal, ocular and other systems. Immunological phenomena secondary to antigenic mimicry may also be an important component of many clinical features and may be responsible for reactive arthritis. The presentation of paraparesis in combination with Weil′s syndrome is rare. Few cases were reported with leptospirosis and paraparesis in India and abroad. It is important to bear in mind that leptospiral illness may be a significant component in cases of dual infections or in simultaneous infections with more than two pathogens. Here we are reporting a case of Weil′s syndrome with paraparesis in 28-year-old male patient who was critically ill due to severe hepatorenal dysfunction and hyperkalemia.


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