Multiple Pulmonary Nodules in Leptospirosis
A 21-year-old man presented with the chief complaints of fever and sore throat after visiting Cambodia and Thailand. Computed tomography revealed multiple pulmonary nodules. After performing antibiotic therapy, the pulmonary nodules without bacteremia disappeared completely. Paired microscopic agglu...
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| Veröffentlicht in: | Internal Medicine 2020/11/15, Vol.59(22), pp.2941-2944 |
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| container_title | Internal Medicine |
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| creator | Nagai, Ran Yamamoto, Kei Shiojiri, Daisuke Kutsuna, Satoshi Kato, Yasuyuki Koizumi, Nobuo Ohmagari, Norio |
| description | A 21-year-old man presented with the chief complaints of fever and sore throat after visiting Cambodia and Thailand. Computed tomography revealed multiple pulmonary nodules. After performing antibiotic therapy, the pulmonary nodules without bacteremia disappeared completely. Paired microscopic agglutination tests revealed seroconversion against Leptospira serogroup Autumnalis. Thus, he was diagnosed with multiple pulmonary nodules caused by leptospirosis. Leptospirosis is a common zoonosis that occurs in tropical and subtropical areas. Its various clinical features include unspecified fever and Weil's disease. Although diffuse alveolar hemorrhaging is known to occur in severe leptospirosis, multiple pulmonary nodules resembling septic emboli or vasculitis are a rare complication. |
| doi_str_mv | 10.2169/internalmedicine.4305-19 |
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Computed tomography revealed multiple pulmonary nodules. After performing antibiotic therapy, the pulmonary nodules without bacteremia disappeared completely. Paired microscopic agglutination tests revealed seroconversion against Leptospira serogroup Autumnalis. Thus, he was diagnosed with multiple pulmonary nodules caused by leptospirosis. Leptospirosis is a common zoonosis that occurs in tropical and subtropical areas. Its various clinical features include unspecified fever and Weil's disease. Although diffuse alveolar hemorrhaging is known to occur in severe leptospirosis, multiple pulmonary nodules resembling septic emboli or vasculitis are a rare complication.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.4305-19</identifier><identifier>PMID: 32713908</identifier><language>eng</language><publisher>TOKYO: The Japanese Society of Internal Medicine</publisher><subject>Adult ; Agglutination ; Alveoli ; Animals ; Antibodies, Bacterial ; Bacteremia ; Case Report ; Computed tomography ; Fever ; General & Internal Medicine ; Humans ; Internal medicine ; Leptospira ; Leptospirosis ; Leptospirosis - complications ; Leptospirosis - diagnosis ; Leptospirosis - drug therapy ; Life Sciences & Biomedicine ; Lung nodules ; Male ; Medicine, General & Internal ; multiple pulmonary nodules ; Multiple Pulmonary Nodules - diagnostic imaging ; Pharyngitis ; Science & Technology ; Seroconversion ; Vasculitis ; Weil Disease ; Weil's disease ; Young Adult ; Zoonoses</subject><ispartof>Internal Medicine, 2020/11/15, Vol.59(22), pp.2941-2944</ispartof><rights>2020 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2020</rights><rights>Copyright © 2020 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>1</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000592800500022</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c667t-3bb5385b152388e84f085147ac3a7bbc041784fd78455f76a5c1b6a97ad411383</citedby><cites>FETCH-LOGICAL-c667t-3bb5385b152388e84f085147ac3a7bbc041784fd78455f76a5c1b6a97ad411383</cites><orcidid>0000-0002-5733-535X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725640/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725640/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,887,1887,27933,27934,28257,53800,53802</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32713908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagai, Ran</creatorcontrib><creatorcontrib>Yamamoto, Kei</creatorcontrib><creatorcontrib>Shiojiri, Daisuke</creatorcontrib><creatorcontrib>Kutsuna, Satoshi</creatorcontrib><creatorcontrib>Kato, Yasuyuki</creatorcontrib><creatorcontrib>Koizumi, Nobuo</creatorcontrib><creatorcontrib>Ohmagari, Norio</creatorcontrib><title>Multiple Pulmonary Nodules in Leptospirosis</title><title>Internal Medicine</title><addtitle>INTERNAL MED</addtitle><addtitle>Intern. Med.</addtitle><description>A 21-year-old man presented with the chief complaints of fever and sore throat after visiting Cambodia and Thailand. Computed tomography revealed multiple pulmonary nodules. After performing antibiotic therapy, the pulmonary nodules without bacteremia disappeared completely. Paired microscopic agglutination tests revealed seroconversion against Leptospira serogroup Autumnalis. Thus, he was diagnosed with multiple pulmonary nodules caused by leptospirosis. Leptospirosis is a common zoonosis that occurs in tropical and subtropical areas. Its various clinical features include unspecified fever and Weil's disease. Although diffuse alveolar hemorrhaging is known to occur in severe leptospirosis, multiple pulmonary nodules resembling septic emboli or vasculitis are a rare complication.</description><subject>Adult</subject><subject>Agglutination</subject><subject>Alveoli</subject><subject>Animals</subject><subject>Antibodies, Bacterial</subject><subject>Bacteremia</subject><subject>Case Report</subject><subject>Computed tomography</subject><subject>Fever</subject><subject>General & Internal Medicine</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Leptospira</subject><subject>Leptospirosis</subject><subject>Leptospirosis - complications</subject><subject>Leptospirosis - diagnosis</subject><subject>Leptospirosis - drug therapy</subject><subject>Life Sciences & Biomedicine</subject><subject>Lung nodules</subject><subject>Male</subject><subject>Medicine, General & Internal</subject><subject>multiple pulmonary nodules</subject><subject>Multiple Pulmonary Nodules - diagnostic imaging</subject><subject>Pharyngitis</subject><subject>Science & Technology</subject><subject>Seroconversion</subject><subject>Vasculitis</subject><subject>Weil Disease</subject><subject>Weil's disease</subject><subject>Young Adult</subject><subject>Zoonoses</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><recordid>eNqNUUuPFCEYJEbjjqt_wXTixWTTK88GLiZm4isZXQ96JjTz9S4TBtqGXuO_l86Ms7pevBQEqoqvKIQagi8p6fQrHwtM0YY9bL3zES45w6Il-gFaEcZ1KykTD9EKa6JaWuEMPcl5hzFTUtPH6IxRSZjGaoUuPs2h-DFA82UO-xTt9LP5nLZzgNz42GxgLCmPfkrZ56fo0WBDhmfH9Rx9e_f26_pDu7l6_3H9ZtO6rpOlZX0vmBI9EZQpBYoPWAnCpXXMyr53mBNZD7cVhBhkZ4UjfWe1tFtOCFPsHL0--I5zXxM6iGWywYyT39fxTLLe_H0T_Y25TrdGSio6jqvBy6PBlL7PkIvZ--wgBBshzdlQTqWgXMrlrRf3qLs0L1-7sLoOS8L1YqgOLFc_Ik8wnIYh2CyNmPuNmKURQ3SVPv8zzEn4u4JKuDgQfkCfhuw8RAcnGsZYaKoq1h2ld5P8D3vtiy0-xXWaY6nSq4N0l4u9vhPZqXgX4N8IQhtKFzxmOTHdjZ0MRPYLGU_J6Q</recordid><startdate>20201115</startdate><enddate>20201115</enddate><creator>Nagai, Ran</creator><creator>Yamamoto, Kei</creator><creator>Shiojiri, Daisuke</creator><creator>Kutsuna, Satoshi</creator><creator>Kato, Yasuyuki</creator><creator>Koizumi, Nobuo</creator><creator>Ohmagari, Norio</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Soc Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5733-535X</orcidid></search><sort><creationdate>20201115</creationdate><title>Multiple Pulmonary Nodules in Leptospirosis</title><author>Nagai, Ran ; Yamamoto, Kei ; Shiojiri, Daisuke ; Kutsuna, Satoshi ; Kato, Yasuyuki ; Koizumi, Nobuo ; Ohmagari, Norio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c667t-3bb5385b152388e84f085147ac3a7bbc041784fd78455f76a5c1b6a97ad411383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Agglutination</topic><topic>Alveoli</topic><topic>Animals</topic><topic>Antibodies, Bacterial</topic><topic>Bacteremia</topic><topic>Case Report</topic><topic>Computed tomography</topic><topic>Fever</topic><topic>General & Internal Medicine</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Leptospira</topic><topic>Leptospirosis</topic><topic>Leptospirosis - complications</topic><topic>Leptospirosis - diagnosis</topic><topic>Leptospirosis - drug therapy</topic><topic>Life Sciences & Biomedicine</topic><topic>Lung nodules</topic><topic>Male</topic><topic>Medicine, General & Internal</topic><topic>multiple pulmonary nodules</topic><topic>Multiple Pulmonary Nodules - diagnostic imaging</topic><topic>Pharyngitis</topic><topic>Science & Technology</topic><topic>Seroconversion</topic><topic>Vasculitis</topic><topic>Weil Disease</topic><topic>Weil's disease</topic><topic>Young Adult</topic><topic>Zoonoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagai, Ran</creatorcontrib><creatorcontrib>Yamamoto, Kei</creatorcontrib><creatorcontrib>Shiojiri, Daisuke</creatorcontrib><creatorcontrib>Kutsuna, Satoshi</creatorcontrib><creatorcontrib>Kato, Yasuyuki</creatorcontrib><creatorcontrib>Koizumi, Nobuo</creatorcontrib><creatorcontrib>Ohmagari, Norio</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagai, Ran</au><au>Yamamoto, Kei</au><au>Shiojiri, Daisuke</au><au>Kutsuna, Satoshi</au><au>Kato, Yasuyuki</au><au>Koizumi, Nobuo</au><au>Ohmagari, Norio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple Pulmonary Nodules in Leptospirosis</atitle><jtitle>Internal Medicine</jtitle><stitle>INTERNAL MED</stitle><addtitle>Intern. Med.</addtitle><date>2020-11-15</date><risdate>2020</risdate><volume>59</volume><issue>22</issue><spage>2941</spage><epage>2944</epage><pages>2941-2944</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 21-year-old man presented with the chief complaints of fever and sore throat after visiting Cambodia and Thailand. Computed tomography revealed multiple pulmonary nodules. After performing antibiotic therapy, the pulmonary nodules without bacteremia disappeared completely. Paired microscopic agglutination tests revealed seroconversion against Leptospira serogroup Autumnalis. Thus, he was diagnosed with multiple pulmonary nodules caused by leptospirosis. Leptospirosis is a common zoonosis that occurs in tropical and subtropical areas. Its various clinical features include unspecified fever and Weil's disease. 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| subjects | Adult Agglutination Alveoli Animals Antibodies, Bacterial Bacteremia Case Report Computed tomography Fever General & Internal Medicine Humans Internal medicine Leptospira Leptospirosis Leptospirosis - complications Leptospirosis - diagnosis Leptospirosis - drug therapy Life Sciences & Biomedicine Lung nodules Male Medicine, General & Internal multiple pulmonary nodules Multiple Pulmonary Nodules - diagnostic imaging Pharyngitis Science & Technology Seroconversion Vasculitis Weil Disease Weil's disease Young Adult Zoonoses |
| title | Multiple Pulmonary Nodules in Leptospirosis |
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