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Case Reports
. 2020 Feb 19;8(4):690-695.
doi: 10.1002/ccr3.2736. eCollection 2020 Apr.

Leptospirosis as an unusual culprit of acute pancreatitis and portal vein thrombosis in a New Yorker

Iman Afzal  1 , Rishi Thaker  1 , Simcha Weissman  2 , Megha Kothari  1
Affiliations
Case Reports

Leptospirosis as an unusual culprit of acute pancreatitis and portal vein thrombosis in a New Yorker

Iman Afzal et al. Clin Case Rep. .

Abstract

Leptospirosis often takes clinicians by surprise when presenting in urban locations with unusual manifestations. This delays diagnosis and treatment which increases mortality rate. Our case illustrates the importance of taking into account the socioeconomic backgrounds, environmental exposures, and clinical presentations of patients to create a good differential diagnosis.

Keywords: leptospirosis; pancreatitis; portal vein thrombosis; urban.

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Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this article.

Figures

Figure 1
Figure 1
Normal directional flow and maximal flow velocity was seen in the left portal vein
Figure 2
Figure 2
The isolated hepatofugal flow in the right portal vein is suspect for portal vein thrombosis
See this image and copyright information in PMC

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