Hemorrhagic pulmonary leptospirosis: three cases from the Yucatan peninsula, Mexico

Three leptospirosis cases with lung involvement are reported from the Yucatan Peninsula, Mexico. All three patients were admitted to the intensive care unit due to acute respiratory failure. Treatment with antibiotics resulted in favorable evolution despite the negative prognosis. Leptospirosis shou...

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Veröffentlicht in:	Revista da Sociedade Brasileira de Medicina Tropical 2008-07, Vol.41 (4), p.404-408
Hauptverfasser:	Zavala-Velázquez, Jorge, Cárdenas-Marrufo, María, Vado-Solís, Ignacio, Cetina-Cámara, Marco, Cano-Tur, José, Laviada-Molina, Hugo
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Antibiotics Enzyme-Linked Immunosorbent Assay Female Hemorrhage - diagnosis Hemorrhage - drug therapy Hemorrhage - microbiology Humans Immunoglobulin G - blood Leptospira interrogans - immunology Leptospirosis - diagnosis Leptospirosis - drug therapy Lung Diseases - diagnosis Lung Diseases - drug therapy Lung Diseases - microbiology Male Severity of Illness Index TROPICAL MEDICINE Young Adult
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Zusammenfassung:	Three leptospirosis cases with lung involvement are reported from the Yucatan Peninsula, Mexico. All three patients were admitted to the intensive care unit due to acute respiratory failure. Treatment with antibiotics resulted in favorable evolution despite the negative prognosis. Leptospirosis should be included in the differential diagnosis of patients with fever and lung involvement.
ISSN:	0037-8682 1678-9849 1678-9849 0037-8682
DOI:	10.1590/s0037-86822008000400016