A case of leptospirosis simulating colon cancer with liver metastases

作     者：AlessandroGranito GiorgioBallardini MarcoFusconi UmbertoVolta PaoloMuratori Vittorio Sambri Giuseppe Battista Francesco B.Bianchi 

作者机构：Departments of Internal MedicineCardioangiologyHepatologyAlma Mater Studiorum-University of BolognaItaly Department of Clinical and Experimental MedicineSection of icrobiologyAlma Mater Studiorum-University of BolognaItaly Department of RadiologyAlma Mater Studiorum-University of BolognaItaly 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2004年第10卷第16期

页      面：2455-2456页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Colonic Neoplasms Colonoscopy Contrast Media Diagnosis, Differential Gram-Negative Bacteria purification Humans Leptospirosis Liver Function Tests Liver Neoplasms Male Middle Aged Tetracycline Tomography, X-Ray Computed 

摘      要：We report a case of a 61-year-old man who presented with fatigue,abdominal pain and *** tomography (CT) of the abdomen showed hepatomegaly and multiple hepatic lesions highly suggestive of metastatic *** to the endoscopic finding of colon ulcer,colon cancer with liver metastases was *** a slight increase of transaminases,alkaline phosphatase and gammaglutamyl transpeptidase were present;α- fetoprotein,carcinoembryogenic antigen and carbohydrate 19-9 antigen serum levels were *** and instrumental investigations,including colon and liver biopsies revealed no signs of *** the light of spontaneous improvement of symptoms and CT findings,his personal history was revaluated revealing direct contact with pigs and their *** of leptospirosis was considered and confirmed by detection of an elevated titer of antibodies to *** two mo,biochemical data,CT and colonoscopy were totally normal.