medigraphic.com
ISSN 1810-2352 (Print)

2019, Number 2

<< Back

Rev Cub Med Int Emerg 2019; 18 (2)

Non-invasive ventilation in acute respiratory insufficiency by leptospirosis

Rivero LJC, Carrera GE, Rodríguez QR, Rodríguez CÁL

Language: Spanish
References: 9
Page:
PDF size: 165.99 Kb.


ABSTRACT

Leptospirosis is an acute infection. Respiratory involvement is frequent, but it is usually mild and undiagnosed, it is unusual at the onset of the disease. In recent years, a change in clinical presentation has been reported. There is higher incidence of lung involvement. This article proposes to describe a clinical case of leptospirosis and acute respiratory failure, treated at Dr. Miguel Enriquez Teaching Clinical - Surgical Hospital. This the case of a 51-year-old patient with epidemiological history. Clinically, he presented acute febrile symptoms, manifestations of Weil syndrome associated with lung injury with manifestations of pulmonary hemorrhage and rapid progression to acute respiratory failure. Serological tests confirmed the diagnosis of leptospirosis. Supportive respiratory treatment was performed with non-invasive mechanical ventilation, with excellent clinical and radiological evolution.


REFERENCES

  1. Romero-Vivas CM, Falconar AK. Leptospira spp. y leptospirosis humana. Revista Salud Uninorte [Internet]. 2016 [citado: 25/05/2018];32(1):(aprox. 9 p). Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-55522016000100011&lng=en

  2. Noya Chaveco ME, Moya González NL. Enfermedades causadas por espiroquetas. En: Colectivo de autores. Roca Goderich. Temas de Medicina Interna. La Habana: Editorial Ciencias Médicas; 2017. p. 599-608.

  3. García Portela RA, García Otero M, García Otero M. Aspectos a tener en cuenta en la patogénesis de la leptospirosis humana. Rev Ciencias Médicas Pinar Río [Internet]. 2015 [citado: 25/05/2018];19(6):(aprox. 6 p). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942015000600026

  4. Chikeka I, Dumler JS. Neglected bacterial zoonoses. Clin Microbiol Infect [Internet]. 2015 [citado: 25/05/2018];21(5):(aprox. 11 p). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4466158/

  5. Duany Badell LE, Achón García M, Varen Álvarez A, Badell Taquechel E, Morales Pérez NF. Aspectos clínicos y epidemiológicos de pacientes con leptospirosis en Cienfuegos. 2001-2010. Medisur [Internet]. 2014 [citado: 25/05/2018];12(4):(aprox. 9 p). Disponible en: http://medisus.sld.cu/index.php/medisur/article/view/2731/1495

  6. Haake DA, Levett PN. Leptospirosis in humans. Curr Trop Microbiol Immunol [Internet]. 2015. [citado: 25/05/2018];387:(aprox. 21 p). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442676

  7. Carmona Sánchez P, Serrano Simón JM. Asistencia ventilatoria no invasiva en la insuficiencia respiratoria aguda. En: Cárdenas Cruz A, Roca Guiseris J, eds. Tratado de Medicina Intensiva. Barcelona: Elsevier; 2017. p. 334-8.

  8. Rochwerg B, Brochard L, Elliott MW, Hess D, Hill NS, Nava S, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J [Internet]. [citado: 25/05/2018];50(2):(aprox. 10 p). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593345/

  9. Goris M, Kikken V, Straetemans M, Alba S, Goeijenbier M, Van Gorp EC, et al. Towards the Burden of human leptospirosis: Duration of acute Illness and occurrence of post-leptospirosis symptoms of patients in the Netherlands. PLoSOne [Internet]. 2013 [citado: 18/08/2015];8(10):(aprox. 13 p). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789694




2020     |     www.medigraphic.com