Severe pulmonary haemorrhage syndrome in leptospirosis in a returning traveller

Infection
Andreas SchönfeldD Häussinger

Abstract

Clinical presentation of leptospirosis ranges from asymptomatic infection to fulminant, life-threatening disease. Pulmonary involvement in terms of severe pulmonary haemorrhage syndrome (SPHS) has recently become a more frequently reported facet of leptospirosis and correlates with high mortality rates. It has not yet been described in returning German travellers. We present a case of a healthy young man developing massive pulmonary haemorrhage and severe ARDS requiring mechanical ventilation and high-dose catecholamines after travelling to Indonesia. Leptospirosis was verified by blood PCR as well as serology and treated with high-dose, intravenous penicillin. Outcome was favourable, the patient recovered completely. Leptospirosis and SPHS should be taken into account as an emerging infectious disease in patients with fever and lung involvement.

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Citations

Jan 4, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Krishnan Baby Karpagam, Balasubramanian Ganesh
Jan 31, 2020·BMJ Case Reports·Emma BoertjesLaurien Oswald
Aug 12, 2020·Infection·M ZechelB T Schleenvoigt

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