Colorectal problem in leptospirosis

Dear, Editor, leptospirosis is an important zoonotic leptospiral infection. This infection is common and endemic in several tropical countries. The patients with leptospirosis usually have high fever and other systematic clinical problems such as renal failure and jaundice. The colorectal manifestat...

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Autores principales: Sora Yasri, Viroj Wiwanitkit
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Lenguaje:EN
Publicado: Shiraz University of Medical Sciences 2019
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Acceso en línea:https://doaj.org/article/45eaa6c4fb6947faaff700132f4cff19
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spelling oai:doaj.org-article:45eaa6c4fb6947faaff700132f4cff192021-11-14T08:42:29ZColorectal problem in leptospirosis2783-243010.30476/acrr.2019.45986https://doaj.org/article/45eaa6c4fb6947faaff700132f4cff192019-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45986_1649d792d3ee106df78f1c681f22e31a.pdfhttps://doaj.org/toc/2783-2430Dear, Editor, leptospirosis is an important zoonotic leptospiral infection. This infection is common and endemic in several tropical countries. The patients with leptospirosis usually have high fever and other systematic clinical problems such as renal failure and jaundice. The colorectal manifestation of leptospirosis is possible but little mentioned. Sometimes, the colorectal presentation of leptospirosis might be missed or incorrectly diagnosed. The good example is the missed diagnosis of leptospirosis as colon cancer [1]. Colon ulcer might be detected by colonoscopy study [1]. The pathogenesis is according to colonic spirochetosis pathological process. Direct colonic involvement might be shown by histological study. Indeed, the gastrointestinal symptoms including diarrhea is observable in cases with leptospirosis [2]. The patient might also have severe abdominal pain [2]. In severe case, abdominal CT scan might reveal pancolitis [3]. In fact, colon might be an affected organ in leptospirosis. In rare case, ischemia of colon is observable [4 - 5]. In any case with atypical clinical problem, colorectal manifestation might be a clinical feature of leptospirosis. The practitioner should recognize and consider this problem in any case from or having history of visiting to tropical endemic area.Sora YasriViroj WiwanitkitShiraz University of Medical Sciencesarticlecolorectalleptospirosistropical countriesMedicineRENIranian Journal of Colorectal Research, Vol 7, Iss 4, Pp 1-1 (2019)
institution DOAJ
collection DOAJ
language EN
topic colorectal
leptospirosis
tropical countries
Medicine
R
spellingShingle colorectal
leptospirosis
tropical countries
Medicine
R
Sora Yasri
Viroj Wiwanitkit
Colorectal problem in leptospirosis
description Dear, Editor, leptospirosis is an important zoonotic leptospiral infection. This infection is common and endemic in several tropical countries. The patients with leptospirosis usually have high fever and other systematic clinical problems such as renal failure and jaundice. The colorectal manifestation of leptospirosis is possible but little mentioned. Sometimes, the colorectal presentation of leptospirosis might be missed or incorrectly diagnosed. The good example is the missed diagnosis of leptospirosis as colon cancer [1]. Colon ulcer might be detected by colonoscopy study [1]. The pathogenesis is according to colonic spirochetosis pathological process. Direct colonic involvement might be shown by histological study. Indeed, the gastrointestinal symptoms including diarrhea is observable in cases with leptospirosis [2]. The patient might also have severe abdominal pain [2]. In severe case, abdominal CT scan might reveal pancolitis [3]. In fact, colon might be an affected organ in leptospirosis. In rare case, ischemia of colon is observable [4 - 5]. In any case with atypical clinical problem, colorectal manifestation might be a clinical feature of leptospirosis. The practitioner should recognize and consider this problem in any case from or having history of visiting to tropical endemic area.
format article
author Sora Yasri
Viroj Wiwanitkit
author_facet Sora Yasri
Viroj Wiwanitkit
author_sort Sora Yasri
title Colorectal problem in leptospirosis
title_short Colorectal problem in leptospirosis
title_full Colorectal problem in leptospirosis
title_fullStr Colorectal problem in leptospirosis
title_full_unstemmed Colorectal problem in leptospirosis
title_sort colorectal problem in leptospirosis
publisher Shiraz University of Medical Sciences
publishDate 2019
url https://doaj.org/article/45eaa6c4fb6947faaff700132f4cff19
work_keys_str_mv AT sorayasri colorectalprobleminleptospirosis
AT virojwiwanitkit colorectalprobleminleptospirosis
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