Acalculous Cholecystitis As A Presenting Sign Of Leptospirosis In Two Children

Adele Tan Guat Kean


Acute acalculous cholecystitis is a rare presentation of leptospirosis in the paediatric population. I present two cases of leptospirosis diagnosed a month apart, both of whom presented with severe epigastric pain, vomiting and right hypochondrial tenderness. There was a delay in the diagnosis in the first case, who presented probably after recovering from phase one of the disease (in retrospect) and then went on to develop Weil’s disease. The second case was treated early on presentation as a suspected case of leptospirosis and recovered uneventfully. In an endemic area, the diagnosis of leptospirosis must be considered in previously healthy child who presents with fever and a radiological diagnosis of acalculous cholecystitis. Early diagnosis and appropriate treatment can limit the severity of disease progression.

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Leptospirosis; Paediatrics; Acalculous Cholecystitis; Infectious Disease; Weil Disease

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