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Markedly elevated creatinine phosphokinase, cotton wool spots, and pericarditis in a patient with leptospirosis.

Abstract：

:We are reporting a patient with acute leptospirosis whose creatinine phosphokinase was markedly elevated secondary to an associated myositis. In patients presenting with acute hepatitis, an elevated creatinine phosphokinase should suggest the diagnosis of leptospirosis. Our patient's course of illness was made unusual by the appearance of cotton wool spots, previously unreported in leptospirosis as well as by pericarditis in the absence of uremia. This illustrates our ever widening recognition of the clinical manifestations of leptospirosis.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Farkas PS,Knapp AB,Lieberman H,Guttman I,Mayan S,Bloom AA

subject

Has Abstract

pub_date

1981-03-01 00:00:00

pages

587-9

issue

3

eissn

0016-5085

issn

1528-0012

pii

S0016508581000723

journal_volume

80

pub_type

杂志文章

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