Adult Respiratory Failure with Leptospirosis
Authors: HENDRIKUS H. BERENDSEN
Journal: Annals of Internal Medicine (1984)

Letters and Corrections1 September 1984Adult Respiratory Failure with LeptospirosisHENDRIKUS H. BERENDSEN, M.D., JOHANNES H. ROMMES, M.D., BONNO S. HYLKEMA, M.D., AAF F. MEINESZ, M.D., HENK J. SLUITER, M.D.HENDRIKUS H. BERENDSEN, M.D.Search for more papers by this author, JOHANNES H. ROMMES, M.D.Search for more papers by this author, BONNO S. HYLKEMA, M.D.Search for more papers by this author, AAF F. MEINESZ, M.D.Search for more papers by this author, HENK J. SLUITER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-101-3-402_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The clinical picture of leptospirosis is often nonspecific. Ninety percent or more of all patients are anicteric(l). No mortality is seen in those patients; when jaundice is present, mortality is 17%. Few reports deal with pulmonary involvement in leptospirosis. In fact, in a series of 483 cases reviewed by Heath and Alexander(2), no deaths due to respiratory failure were mentioned. We recently saw two patients in whom life-threatening acute respiratory failure was the most prominent feature.A 55-year-old man was referred to our department. He had a 5-day history of influenza-like symptoms, hemoptysis, and ultimately progressive dyspnea....References1. FEIGINANDERSON RD. Human leptospirosis. CRC Crit Rev Clin Lab Sci. 1975;5:413-67. CrossrefMedlineGoogle Scholar2. HEATHALEXANDER CA. Leptospirosis in the United States: analysis of 483 cases in man, 1949-1961. N Engl J Med. 1965;273:915-22. CrossrefMedlineGoogle Scholar3. DE BRITOBöHMYASUDA TGP. Vascular damage in acute experimental leptospirosis of the guinea-pig. J Pathol. 1979;128:177-82. CrossrefMedlineGoogle Scholar4. SILVERSTEIN C. Pulmonary manifestations of leptospirosis. Radiology. 1953;61:327-34. CrossrefMedlineGoogle Scholar5. WANGCHILU CCF. Studies on anicteric leptospirosis: III. Roentgenologic observations of pulmonary changes. Chin Med J. 1965;84:298-306. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: University Hospital Groningen The Netherlands PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByAspectos anatomopatológicos da leptospirose em cães: 53 casos (1965-2011)LeptospirosesPrognostic factors of death in leptospirosis: a prospective cohort study in Khon Kaen, ThailandLeptospirosisSERIOUS WATERBORNE AND WILDERNESS INFECTIONSMassive pumonary haemorrhage caused by leptospirosis successfully treated with nitric oxide inhalation and haemofiltrationAspects épidémiologiques, cliniques, biologiques et évolutifs de la leptospirose : à propos de 30 observations recueillies en AquitaineHemoptise/s e síndrome de angústia respiratória do adulto como causas de morte na leptospirose: mudanças de padrões clínicos e anatomopatológicosHemoptisis e insuficiencia respiratoria aguda debidas a infección por Leptospira icterohemorrhagiaeRelapsing Fever Associated with ARDS in a Parturient WomanAspects cliniques et facteurs pronostiques des leptospiroses ictéro-hémorragiques de l'adulteDétresse respiratoire aiguë révélant une leptospirose 1 September 1984Volume 101, Issue 3Page: 402-402KeywordsDyspneaLeptospirosisMortalityRespiratory failure Issue Published: 1 September 1984 PDF DownloadLoading ...