Leptospirosis pulmonary haemorrhage:: a diagnostic challenge

被引:11
作者
Dall'Antonia, M. [1 ]
Sluga, G. [2 ]
Whitfield, S. [1 ]
Teall, A. [1 ]
Wilson, P. [3 ]
Krahe, D. [4 ]
机构
[1] Queen Elizabeth Hosp, NHS Trust, London SE184QH, England
[2] Kings Coll Hosp London, Dept Microbiol, London, England
[3] Barts and London NHS Trust, London, England
[4] Homerton Univ Hosp, NHS Fdn Trust, London, England
关键词
D O I
10.1136/emj.2007.051524
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Leptospirosis is a re-emerging zoonosis with worldwide distribution. Antibiotic treatment is available, but leptospirosis is rarely suspected due to the non-specific clinical presentation, and is also underreported due to the difficulty in confirming the diagnosis. The syndrome of leptospirosis pulmonary haemorrhage is increasingly described; it is severe and can present without the classical manifestations of Weil's disease. We discuss two cases of leptospirosis with pulmonary haemorrhage; both our patients experienced a dramatic deterioration hours after their admission, and required emergency intubation and intensive therapy unit support. Massive haemoptysis is a life threatening complication of leptospirosis, even outside tropical areas.
引用
收藏
页码:51 / 52
页数:2
相关论文
共 4 条
[1]   Leptospirosis: a zoonotic disease of global importance [J].
Bharti, AR ;
Nally, JE ;
Ricaldi, JN ;
Matthias, MA ;
Diaz, MM ;
Lovett, MA ;
Levett, PN ;
Gilman, RH ;
Willig, MR ;
Gotuzzo, E ;
Vinetz, JM .
LANCET INFECTIOUS DISEASES, 2003, 3 (12) :757-771
[2]   Leptospirosis [J].
Levett, PN .
CLINICAL MICROBIOLOGY REVIEWS, 2001, 14 (02) :296-+
[3]   Leptospirosis presenting as diffuse alveolar hemorrhage - Case report and literature review [J].
Luks, AM ;
Lakshminarayanan, S ;
Hirschmann, JV .
CHEST, 2003, 123 (02) :639-643
[4]   Clinical spectrum of pulmonary involvement in leptospirosis in a region of endemicity, with quantification of leptospiral burden [J].
Segura, ER ;
Ganoza, CA ;
Campos, K ;
Ricaldi, JN ;
Torres, S ;
Silva, H ;
Céspedes, MJ ;
Matthias, MA ;
Swancutt, MA ;
Liñán, RL ;
Gotuzzo, E ;
Guerra, H ;
Gilman, RH ;
Vinetz, JM .
CLINICAL INFECTIOUS DISEASES, 2005, 40 (03) :343-351