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钩端螺旋体病中的肺出血

Pulmonary haemorrhage in Weil's disease.

作者信息

Boertjes Emma, Hillebrand Stefanie, Bins Janneke Elisabeth, Oswald Laurien

机构信息

Internal Medicine, Sint Franciscus Vlietland Groep, Rotterdam, The Netherlands.

Respiratory Medicine, Sint Franciscus Vlietland Group, Rotterdam, The Netherlands.

出版信息

BMJ Case Rep. 2020 Jan 29;13(1):e227570. doi: 10.1136/bcr-2018-227570.

Abstract

Leptospirosisis a zoonosis caused by spirochaetes from the species The more severe form of leptospirosis, known as Weil's disease, is characterised by the triad of jaundice, renal impairment and haemorrhages. Pulmonary involvement occurs in 20%-70% of the patients, with severity ranging from non-productive cough to respiratory failure mainly due to pulmonary haemorrhage. Recognition of Weil's disease in patients presenting with pulmonary symptoms can be difficult. This case illustrates a classic case of pulmonary haemorrhagic involvement in Weil's disease.

摘要

钩端螺旋体病是一种由钩端螺旋体属螺旋体引起的人畜共患病。钩端螺旋体病的更严重形式,即韦尔氏病,其特征为黄疸、肾功能损害和出血三联征。20% - 70%的患者会出现肺部受累,严重程度从干咳到主要因肺出血导致的呼吸衰竭不等。对于出现肺部症状的患者,识别韦尔氏病可能很困难。本病例说明了一例韦尔氏病肺部出血受累的典型病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f796/7021118/bfde6471ba18/bcr-2018-227570f01.jpg

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