[成人急性呼吸窘迫综合征的一种罕见病因：钩端螺旋体病]

[A rare aetiology of acute respiratory distress syndrome in adult: leptospirosis].

作者信息

Batjom E, Koulmann P, Grasser L, Rousseau J-M

机构信息

Service d'anesthésie-réanimation, HIA Bégin, 94160 Saint-Mandé, France.

出版信息

Ann Fr Anesth Reanim. 2005 Jun;24(6):637-9. doi: 10.1016/j.annfar.2005.03.040.

DOI:10.1016/j.annfar.2005.03.040

PMID:15921876

Abstract

We report the case of an 18-year-old man with pulmonary leptospirosis presenting as an atypical pneumonia with alveolar haemorrhage, without icterus. Has he developed ARDS the patient was admitted in intensive care unit. This patient was contaminated when swimming in a lake. The purpose of this article is to remind doctors that in patient presenting atypical pneumopathy with haemoptysis, the pulmonary leptospirosis should be considered.

摘要

我们报告了一例18岁男性肺型钩端螺旋体病患者，表现为伴有肺泡出血的非典型肺炎，无黄疸。若患者发生急性呼吸窘迫综合征（ARDS），则被收入重症监护病房。该患者在湖中游泳时被感染。本文旨在提醒医生，对于出现伴有咯血的非典型肺病患者，应考虑肺型钩端螺旋体病。