Abstract
The Polymyositis (PM) is an inflammatory myopathy with symmetrical proximal muscle weakness, especially in pelvic, shoulder girdle and cervical musculature. It may occur primary or secondary to other diseases. Diagnosis is made by exclusion of other etiologies, such as infections, endocrinopathies, metabolics diseases and Bohan and Peter criteria. Leptospirosis is a zoonosis of worldwide distribution, that can be asymptomatic, with clinical presentation ranging from an acute febrile illness, with headache, severe myalgia, fever, arthralgia, to a severe syndrome of multiorgan dysfunction (Weill syndrome) and the diagnosis may be missed unless the physician has a high index of suspicion for the disease.
Highlights
The Polymyositis (PM) is an inflammatory myopathy with symmetrical proximal muscle weakness, especially in pelvic, shoulder girdle and cervical musculature
Leptospirosis is a zoonosis of worldwide distribution, that can be asymptomatic, with clinical presentation ranging from an acute febrile illness, with headache, severe myalgia, fever, arthralgia, to a severe syndrome of multiorgan dysfunction (Weill syndrome) and the diagnosis may be missed unless the physician has a high index of suspicion for the disease
Describe an adolescent with juvenile polimyositis caused by a leptospirosis infection
Summary
The Polymyositis (PM) is an inflammatory myopathy with symmetrical proximal muscle weakness, especially in pelvic, shoulder girdle and cervical musculature. It may occur primary or secondary to other diseases. Diagnosis is made by exclusion of other etiologies, such as infections, endocrinopathies, metabolics diseases and Bohan and Peter criteria. Leptospirosis is a zoonosis of worldwide distribution, that can be asymptomatic, with clinical presentation ranging from an acute febrile illness, with headache, severe myalgia, fever, arthralgia, to a severe syndrome of multiorgan dysfunction (Weill syndrome) and the diagnosis may be missed unless the physician has a high index of suspicion for the disease
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