LEPTOSPIROSIS COMPLICATED BY A JARISCH-HERSHEIMER REACTION AND ADULT-RESPIRATORY-DISTRESS-SYNDROME - CASE-REPORT

被引：33

作者：

EMMANOUILIDES, CE ^{[1
]}

KOHN, OF ^{[1
]}

GARIBALDI, R ^{[1
]}

机构：

[1] UNIV CONNECTICUT,SCH MED,DEPT MED,FARMINGTON,CT

来源：

CLINICAL INFECTIOUS DISEASES | 1994年 / 18卷 / 06期

关键词：

D O I：

10.1093/clinids/18.6.1004

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Leptospirosis, severe infection due to Leptospira interrogans, is a potentially lethal disease that causes multiple organ failure. In addition to hepatic, renal. and CNS involvement, which are classic complications of leptospirosis, the disease may also be complicated by adult respiratory distress syndrome. Treatment with penicillin may precipitate a severe Jarisch-Herxheimer reaction. The mechanisms of leptospira-induced toxicity remain obscure. We report a near-fatal case of leptospirosis in a patient who developed a JHR and respiratory failure immediately after initiation of therapy.

引用

页码：1004 / 1006

页数：3

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