Pulmonary Leptospirosis complicated by Acute Respiratory Distress Syndrome without Hemoptysis.
- Author:
Sung Hoon LEE
1
;
Dong Jib NA
;
Young Chul HONG
;
Kyoung Tae KO
;
Sang Min PARK
;
Sang Hoon HAN
;
Sang Hoon PARK
;
Jun Cheol LIM
;
Yang Deok LEE
;
Yong Seon CHO
;
Min Soo HAN
;
Hee Jung YOON
Author Information
1. Department of Internal Medicine, Sun General Hospital, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Leptospirosis;
Acute respiratory distress syndrome
- MeSH:
Aged;
Anoxia;
Cough;
Dyspnea;
Fever;
Headache;
Hemodynamics;
Hemoptysis*;
Hemorrhage;
Humans;
Korea;
Leptospira interrogans;
Leptospirosis*;
Lung;
Myalgia;
Radiography;
Respiration, Artificial;
Respiratory Distress Syndrome, Adult*;
Respiratory Insufficiency;
Spirochaetales;
Sputum
- From:
Infection and Chemotherapy
2006;38(6):403-406
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Leptospirosis is an acute febrile illness that is endemic in many tropical areas and considered the most common zoonosis worldwide. It is caused by the spirochete Leptospira interrogans. The clinical manifestations may be extremely variable, ranging from flu-like symptoms with mild constitutional complains like fever, headache, myalgias, and gastrointestinal complaints to a severe presentation with the complete Weil's syndrome and sometimes with acute respiratory distress syndrome (ARDS). In Korea, the more common clinical finding is pulmonary manifestation such as cough, hemoptysis and dyspnea. Respiratory failure is an uncommon complication of leptospirosis and is due to severe pulmonary hemorrhage and/or acute respiratory distress syndrome (ARDS). A 67-year-old farmer was referred to the hospital with a history of fever, dyspnea, and confusion. She was found to have severe arterial hypoxemia but, denied blood-tinged sputum. Radiography showed widespread infiltrations over both lung fields, and hemodynamic features were consistent with ARDS. The patient recovered completely without mechanical ventilation.
