2009, Number 587
Rev Med Cos Cen 2009; 66 (587)
Varela RW, Cabrera OA
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ABSTRACTLeptospirosis is a zoonotic spirochetal disease of global importance. This disease continues to have a major impact on people living in urban and rural areas of developing countries with inestimable morbidity and mortality. We report a fatal case of lung involvement leptospirosis, characterizing a picture of diffuse alveolar damage. There are many forms of clinical presentations for this disease and often signs and symptoms may be nonspecific. Leptospirosis diagnosis is based on suspicion and compatible epidemiologic clinical context and confirmed by serologic tests.
Alveolar hemorrhage presented as dyspnea and hemoptysis is the main pulmonary mani-festation. The emergence of massive hemoptysis and acute respiratory distress syndrome has characterized the recent changes reported in the clinical patterns of leptospirosis. The pulmonary involvement has been emerged as a serious life threat, becoming the main cause of death due to leptospirosis in some countries.