Severe pulmonary haemorrhage syndrome in leptospirosis in a returning traveller.
Emerging infectious disease
Leptospirosis
Severe pulmonary haemorrhage syndrome
Travel medicine
Journal
Infection
ISSN: 1439-0973
Titre abrégé: Infection
Pays: Germany
ID NLM: 0365307
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
30
07
2018
accepted:
11
09
2018
pubmed:
20
9
2018
medline:
17
4
2019
entrez:
20
9
2018
Statut:
ppublish
Résumé
Clinical presentation of leptospirosis ranges from asymptomatic infection to fulminant, life-threatening disease. Pulmonary involvement in terms of severe pulmonary haemorrhage syndrome (SPHS) has recently become a more frequently reported facet of leptospirosis and correlates with high mortality rates. It has not yet been described in returning German travellers. We present a case of a healthy young man developing massive pulmonary haemorrhage and severe ARDS requiring mechanical ventilation and high-dose catecholamines after travelling to Indonesia. Leptospirosis was verified by blood PCR as well as serology and treated with high-dose, intravenous penicillin. Outcome was favourable, the patient recovered completely. Leptospirosis and SPHS should be taken into account as an emerging infectious disease in patients with fever and lung involvement.
Identifiants
pubmed: 30229469
doi: 10.1007/s15010-018-1220-7
pii: 10.1007/s15010-018-1220-7
doi:
Substances chimiques
Anti-Bacterial Agents
0
Penicillins
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
125-128Références
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