Abstract

FORERO-RIOS, María Paula et al. Biliary Obstructive Syndrome as an Atypical Manifestation of Weil’s Disease: A Case Series. Rev. colomb. Gastroenterol. [online]. 2024, vol.39, n.1, pp.112-116.  Epub May 16, 2024. ISSN 0120-9957.  https://doi.org/10.22516/25007440.1080.

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.

Keywords : Weil’s disease; leptospirosis; choledocholithiasis.

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