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Leptospirosis: An Unusual Cause of ARDS

Severe leptospirosis usually associates shock, jaundice, renal failure, and thrombocytopenia. Massive hemoptysis due to diffuse alveolar haemorrhage may rarely occur leading to an acute respiratory failure and multiple organ failure. We present the case of an acute respiratory distress syndrome caus...

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Detalles Bibliográficos
Autores principales: Clavel, Marc, Lhéritier, Gwenaelle, Weinbreck, Nicolas, Guerlin, Antoine, Dugard, Anthony, Denes, Eric, Vignon, Philippe
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958626/
https://www.ncbi.nlm.nih.gov/pubmed/20981324
http://dx.doi.org/10.1155/2010/408365
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author Clavel, Marc
Lhéritier, Gwenaelle
Weinbreck, Nicolas
Guerlin, Antoine
Dugard, Anthony
Denes, Eric
Vignon, Philippe
author_facet Clavel, Marc
Lhéritier, Gwenaelle
Weinbreck, Nicolas
Guerlin, Antoine
Dugard, Anthony
Denes, Eric
Vignon, Philippe
author_sort Clavel, Marc
collection PubMed
description Severe leptospirosis usually associates shock, jaundice, renal failure, and thrombocytopenia. Massive hemoptysis due to diffuse alveolar haemorrhage may rarely occur leading to an acute respiratory failure and multiple organ failure. We present the case of an acute respiratory distress syndrome caused by a severe leptospirosis. The severity of the respiratory failure contrasted with the absence of significant liver or renal dysfunction. Bedside open lung biopsy was only consistent with a postinfectious BOOP. The diagnosis was retrospective when the niece of the patient presented with similar inaugural symptoms ten days later after being scratched by a wild rat which was considered by our patient as a pet.
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spelling pubmed-29586262010-10-27 Leptospirosis: An Unusual Cause of ARDS Clavel, Marc Lhéritier, Gwenaelle Weinbreck, Nicolas Guerlin, Antoine Dugard, Anthony Denes, Eric Vignon, Philippe Crit Care Res Pract Case Report Severe leptospirosis usually associates shock, jaundice, renal failure, and thrombocytopenia. Massive hemoptysis due to diffuse alveolar haemorrhage may rarely occur leading to an acute respiratory failure and multiple organ failure. We present the case of an acute respiratory distress syndrome caused by a severe leptospirosis. The severity of the respiratory failure contrasted with the absence of significant liver or renal dysfunction. Bedside open lung biopsy was only consistent with a postinfectious BOOP. The diagnosis was retrospective when the niece of the patient presented with similar inaugural symptoms ten days later after being scratched by a wild rat which was considered by our patient as a pet. Hindawi Publishing Corporation 2010 2010-05-26 /pmc/articles/PMC2958626/ /pubmed/20981324 http://dx.doi.org/10.1155/2010/408365 Text en Copyright © 2010 Marc Clavel et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Clavel, Marc
Lhéritier, Gwenaelle
Weinbreck, Nicolas
Guerlin, Antoine
Dugard, Anthony
Denes, Eric
Vignon, Philippe
Leptospirosis: An Unusual Cause of ARDS
title Leptospirosis: An Unusual Cause of ARDS
title_full Leptospirosis: An Unusual Cause of ARDS
title_fullStr Leptospirosis: An Unusual Cause of ARDS
title_full_unstemmed Leptospirosis: An Unusual Cause of ARDS
title_short Leptospirosis: An Unusual Cause of ARDS
title_sort leptospirosis: an unusual cause of ards
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958626/
https://www.ncbi.nlm.nih.gov/pubmed/20981324
http://dx.doi.org/10.1155/2010/408365
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