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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Main Authors: Marc Clavel, Gwenaelle Lhéritier, Nicolas Weinbreck, Antoine Guerlin, Anthony Dugard, Eric Denes, Philippe Vignon
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Critical Care Research and Practice
Online Access:http://dx.doi.org/10.1155/2010/408365
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author Marc Clavel
Gwenaelle Lhéritier
Nicolas Weinbreck
Antoine Guerlin
Anthony Dugard
Eric Denes
Philippe Vignon
author_facet Marc Clavel
Gwenaelle Lhéritier
Nicolas Weinbreck
Antoine Guerlin
Anthony Dugard
Eric Denes
Philippe Vignon
author_sort Marc Clavel
collection DOAJ
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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institution Kabale University
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publishDate 2010-01-01
publisher Wiley
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series Critical Care Research and Practice
spelling doaj-art-31451245d8614e65b2954562e91e13fc2025-02-03T01:12:15ZengWileyCritical Care Research and Practice2090-13052090-13132010-01-01201010.1155/2010/408365408365Leptospirosis: An Unusual Cause of ARDSMarc Clavel0Gwenaelle Lhéritier1Nicolas Weinbreck2Antoine Guerlin3Anthony Dugard4Eric Denes5Philippe Vignon6Medical-Surgical Intensive Care, Dupuytren University Hospital, Limoges, FranceMedical-Surgical Intensive Care, Dupuytren University Hospital, Limoges, FranceDepartment of Pathology, Dupuytren University Hospital, Limoges, FranceDepartment of Thoracic Surgery, Dupuytren University Hospital, Limoges, FranceMedical-Surgical Intensive Care, Dupuytren University Hospital, Limoges, FranceDepartment of Infectious Diseases, Dupuytren University Hospital, Limoges, FranceMedical-Surgical Intensive Care, Dupuytren University Hospital, Limoges, FranceSevere 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.http://dx.doi.org/10.1155/2010/408365
spellingShingle Marc Clavel
Gwenaelle Lhéritier
Nicolas Weinbreck
Antoine Guerlin
Anthony Dugard
Eric Denes
Philippe Vignon
Leptospirosis: An Unusual Cause of ARDS
Critical Care Research and Practice
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
url http://dx.doi.org/10.1155/2010/408365
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