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Leptospirosis pulmonary haemorrhage: a diagnostic challenge.
Emerg Med J. 2008 Jan; 25(1):51-2.EM

Abstract

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.

Authors+Show Affiliations

Queen Elizabeth Hospital NHS Trust, Stadium Road, Woolwich, London, SE184QH, UK. mdallantonia@nhs.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18156549

Citation

Dall'Antonia, M, et al. "Leptospirosis Pulmonary Haemorrhage: a Diagnostic Challenge." Emergency Medicine Journal : EMJ, vol. 25, no. 1, 2008, pp. 51-2.
Dall'Antonia M, Sluga G, Whitfield S, et al. Leptospirosis pulmonary haemorrhage: a diagnostic challenge. Emerg Med J. 2008;25(1):51-2.
Dall'Antonia, M., Sluga, G., Whitfield, S., Teall, A., Wilson, P., & Krahé, D. (2008). Leptospirosis pulmonary haemorrhage: a diagnostic challenge. Emergency Medicine Journal : EMJ, 25(1), 51-2.
Dall'Antonia M, et al. Leptospirosis Pulmonary Haemorrhage: a Diagnostic Challenge. Emerg Med J. 2008;25(1):51-2. PubMed PMID: 18156549.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Leptospirosis pulmonary haemorrhage: a diagnostic challenge. AU - Dall'Antonia,M, AU - Sluga,G, AU - Whitfield,S, AU - Teall,A, AU - Wilson,P, AU - Krahé,D, PY - 2007/12/25/pubmed PY - 2008/3/1/medline PY - 2007/12/25/entrez SP - 51 EP - 2 JF - Emergency medicine journal : EMJ JO - Emerg Med J VL - 25 IS - 1 N2 - 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. SN - 1472-0213 UR - https://www.unboundmedicine.com/medline/citation/18156549/Leptospirosis_pulmonary_haemorrhage:_a_diagnostic_challenge_ L2 - https://emj.bmj.com/lookup/pmidlookup?view=long&pmid=18156549 DB - PRIME DP - Unbound Medicine ER -