Leptospirosis: a case report of a patient with pulmonary haemorrhage successfully managed with extra corporeal membrane oxygenation

Leptospirosis is a zoonosis of worldwide significance. Pulmonary involvement is common but often mild and of little clinical significance. However, over the last two decades an increasing number of cases have been reported with pulmonary haemorrhage as a prominent feature [Carvalho CR, Bethlem EP. P...

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Bibliographic Details
Published in:The Journal of infection 2005-02, Vol.50 (2), p.158-162
Main Authors: Arokianathan, D., Trower, K., Pooboni, S., Sosnowski, A., Moss, P., Thaker, H.
Format: Article
Language:English
Subjects:
Adult
Bacterial diseases
Biological and medical sciences
ECMO
Extracorporeal Membrane Oxygenation
Hemorrhage - etiology
Hemorrhage - microbiology
Hemorrhage - therapy
Human bacterial diseases
Humans
Infectious diseases
Leptospira - isolation & purification
Leptospirosis
Leptospirosis - complications
Leptospirosis - microbiology
Lung Diseases - etiology
Lung Diseases - microbiology
Lung Diseases - therapy
Male
Medical sciences
Miscellaneous
Pulmonary haemorrhage
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Summary:Leptospirosis is a zoonosis of worldwide significance. Pulmonary involvement is common but often mild and of little clinical significance. However, over the last two decades an increasing number of cases have been reported with pulmonary haemorrhage as a prominent feature [Carvalho CR, Bethlem EP. Pulmonary complications of leptospirosis. Clin Chest Med, 2002; 23(2):469–78]. These cases are particularly challenging to treat as they often have resistant hypoxaemia despite maximal invasive mechanical ventilation. Consequently, there is a high mortality rate. Here, we present a case of severe leptospirosis complicated by massive pulmonary haemorrhage which was successfully managed by extra corporeal membrane oxygenation (ECMO).
ISSN:0163-4453
1532-2742
DOI:10.1016/j.jinf.2004.09.010