共 4 条
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.
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页码:51 / 52
页数:2
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