钩端螺旋体病的肺部表现
Pulmonary manifestations of leptospirosis.
作者信息
Gulati Sameer, Gulati Anu
机构信息
Department of Internal Medicine, St Stephen's Hospital, Tis Hazari, Delhi, India.
出版信息
Lung India. 2012 Oct;29(4):347-53. doi: 10.4103/0970-2113.102822.
Abstract
Leptospirosis has a spectrum of presentation which ranges from mild disease to a severe form comprising of jaundice and renal failure. Involvement of the lung can vary from subtle clinical features to deadly pulmonary hemorrhage and acute respiratory distress syndrome. Of late, it has been identified that leptospirosis can present atypically with predominant pulmonary manifestations. This can delay diagnosis making and hence optimum treatment. The purpose of this review is to bring together all the reported pulmonary manifestations of leptospirosis and the recent trends in the management.
摘要
钩端螺旋体病的临床表现多样，从轻症到包括黄疸和肾衰竭的重症形式不等。肺部受累的表现可从隐匿的临床特征到致命的肺出血和急性呼吸窘迫综合征。近来，已发现钩端螺旋体病可表现为以肺部表现为主的非典型形式。这可能会延迟诊断并因此影响最佳治疗。本综述的目的是汇总所有已报道的钩端螺旋体病肺部表现及近期的治疗趋势。
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