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伴有肺部受累及急性肾衰竭的黄疸出血型钩端螺旋体病:病例报告

Ictero-haemorraghic leptospirosis with pulmonary involvement and acute renal failure: case report.

作者信息

Zippi M, Agus M A, Solinas A, Fiorani S, Scafetti S

机构信息

Unit of Gastroenterology and Digestive Endoscopy, Sandro Pertini Hospital, Rome, Italy.

出版信息

Clin Ter. 2012;163(3):e129-31.

Abstract

Leptospirosis is a spirochetal zoonosis with a worldwide distribution affecting both animals and humans. These are infected only occasionally by direct contact with infected animals or through contaminated water and soil. Generally, this disease is commonly found in tropical regions. Infected patients usually present with non-specific features. In fact, the clinical manifestations of leptospirosis are variable, ranging from occult infection to Weil's disease with fatal complications. Often the disease remains underdiagnosed due to the broad spectrum of signs and symptoms. Here we are reporting a case of a woman with an ictero-haemorraghic leptospirosis complicated by acute renal failure and pulmonary involvement that received intensive care unit support including intubation and ventilation and promptly resolved with appropriate therapy.

摘要

钩端螺旋体病是一种螺旋体人畜共患病,在全球范围内分布,影响动物和人类。这些动物仅偶尔通过直接接触受感染动物或通过受污染的水和土壤而被感染。一般来说,这种疾病常见于热带地区。感染患者通常表现出非特异性特征。事实上,钩端螺旋体病的临床表现多种多样,从隐匿感染到伴有致命并发症的韦尔氏病。由于症状和体征范围广泛,该病常常诊断不足。我们在此报告一例黄疸出血型钩端螺旋体病合并急性肾衰竭和肺部受累的女性病例,该患者接受了包括插管和通气在内的重症监护病房支持,并通过适当治疗迅速康复。

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