leptospirosis-associated severe pulmonary hemorrhagic syndrome: a case series study.
The availability of laboratory diagnostic tests would probably reveal many more cases, most of them anicteric
Elevated transaminase levels, hepatosplenomegaly, and anicteric
5%) were anicteric
at the onset of hepatic encephalopathy, defined by no clinical jaundice and total bilirubin level less than 3mg/dL.
05) and more likely to be anicteric
(not jaundiced; 8/15 [53%] vs.
Patients on maintainence haemodialysis and chronic HBsAg carriage rarely develop symptoms of hepatitis, are anicteric
and have mild elevations of hepatic transaminase levels but silent hepatocellular injury continues.
In another study made by our group in Campos dos Goytacazes-RJ, differential diagnosis of dengue from anicteric
leptospirosis was found to important, due to similar clinical manifestations.
Of 191 patients with documented paraproteins in our 2 hospitals, we have identified a total of 6 patients with artifactually high bilirubin attributable to the presence of a known paraprotein and 2 other patients whom we highly suspect based on increased total bilirubin without an increase in direct bilirubin; all of these patients had anicteric
She was anicteric
and had a palpable, nontender liver.
It occurs as two clinically recognizable syndromes- most common is anicteric
leptospirosis, a self-limited illness that occurs in 85% to 90% of the cases and icteric leptospirosis or Weil's syndrome, a more serious, potentially fatal syndrome which occurs in 5% to 10% of the cases.