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Letter to Editor Ann Colorectal Res 2019;7(4):1.

Colorectal Manifestation of

Sora Yasri1*, Viroj Wiwanitkit2

1KMT Primary Care Center, Bangkok, Thailand 2Dr DY Patil University, Pune, India

Received: 08-10-2019 *Corresponding authors: Sora Yasri, Revised: 22-12-2019 KMT Primary Care Center, Pune, India Accepted: 22-12-2019 Email: [email protected]

Please cite this paper as: Yasri S, Wiwanitkit V. Colorectal Manifestation of Leptospirosis. Ann Colorectal Res. 2019;7(4):1-1. doi: .

Dear Editor by histological studies. Indeed, gastrointestinal symptoms including diarrhea are observable in eptospirosis is an important zoonotic leptospiral cases with leptospirosis (2). The patient might also Linfection. This is common and have severe abdominal pain (2). In severe cases, an endemic in several tropical countries. The patients abdominal CT scan might reveal pancolitis (3). In fact, with leptospirosis usually have high and the colon might be an affected organ in leptospirosis. other systematic clinical problems such as renal In rare cases, of the colon is observed (4, failure and jaundice. The colorectal manifestation 5). In any case presenting with an atypical clinical of leptospirosis is possible but has sparsely been problem, the colorectal manifestation of leptospirosis mentioned. Sometimes, the colorectal presentation may present as a clinical problem. The practitioner of leptospirosis might be missed or incorrectly should hence recognize and consider this diagnosed. The good example is the misdiagnosis of in all patients presenting with gastrointestinal leptospirosis as colon cancer (1). Colon ulcers might symptoms along with a history of visiting a tropical be detected via colonoscopy (1). The is endemic area. according to the colonic spirochetosis pathological process. Direct colonic involvement might be shown Conflict of Interests: None declared.

References

1. Granito A, Ballardini G, Fusconi Andaman Island during the 1920s- 2011 Jan 14;5:7. M, Volta U, Muratori P, Sambri -the first report on pulmonary 4. Jørgensen JC, Schlichting P, Agner V, Battista G, Bianchi FB. A case haemorrhage in leptospirosis? Indian E, Fischer A. Weil’s disease with of leptospirosis simulating colon J Med Res. 2015 Jul;142(1):11-22. multiple organ failure and ischemia cancer with liver metastases. World 3. Maroun E, Kushawaha A, of the colon. Ugeskr Laeger. 1985 Oct J Gastroenterol. 2004 Aug 15; 10(16): El-Charabaty E, Mobarakai N, 21;147(43):3407-8. 2455–2456. El-Sayegh S. Fulminant Leptospirosis 5. Zamri Z, Shaker AH, Razman J. 2. Vijayachari P1, Sugunan AP, Singh (Weil’s disease) in an urban setting as Leptospirosis complicating with acute SS, Mathur PP. Leptospirosis among an overlooked of multiorgan large bowel : a case report. the self-supporting convicts of failure: a case report. J Med Case Rep. Clin Ter. 2012;163(5):399-400.

Journal compilation © 2019 Annals of Colorectal Research, Shiraz University of Medical Sciences