Letter to the Editor - Intracranial Bleeding in Weil's Disease
Issue Date:
31-Dec-2002
Publisher:
Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
Citation:
Journal of Postgraduate Medicine (ISSN: 0972-2823) Vol 48 Num 2
Abstract (summary):
Sir, A 45-year-old male presented with history of fever, generalised
myalgia and high coloured urine of one week's duration. He developed
obtundation with generalised tonic-clonic seizures on the previous day
of admission. There was no history of any significant medical illness
in the past. He was drowsy, icteric, with bilateral subconjunctival
haemorrhages and conjunctival congestion. Blood pressure was 140/84 mm
Hg. There was anisocoria with the left pupil being larger, bilateral
brisk deep tendon reflexes and bilateral extensor plantar responses.
There were no signs of meningeal irritation and the ocular fundi were
normal. He had hepatomegaly of 2 cms and mild ascites. There was no
evidence of haematuria or bleeding from intravenous access sites. The
total leucocyte count was 11,500/mm3 with 75% polymorphs, ESR 100mm/h,
serum bilirubin 8.1mg/dL, blood urea 193mg/dL and creatinine 7.3mg/dL
with a normal platelet count and liver enzymes. Weil's IgM antibody by
ELISA was > 20 panbio units. Prothrombin time (13, control 12
seconds) and activated partial thromboplastin time (32, control 30
seconds) were normal. FDP was <10. CT scan head showed intracerebral
haematoma in the right deep parietal lobe with intraventricular,
subarachnoid, subdural and extradural haematomas and midline shift. The
patient succumbed, 9 hours after admission despite treatment with
crystalline penicillin, anti-oedema measures and platelet transfusion.
Permanent Link:
https://hdl.handle.net/1807/23299
Other Identifiers:
http://www.bioline.org.br/abstract?id=jp02053
Content Type:
Article
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