Poh S C, Soh C S
Thorax. 1970 Nov;25(6):751-5. doi: 10.1136/thx.25.6.751.
Two cases of leptospirosis presenting with cough and haemoptysis are described, together with their pulmonary radiological features. The various radiological chest findings are reviewed together with the pathogenesis and pathology of the lesions. Although the pulmonary involvement due to a haemorrhagic pneumonitis in leptospirosis is usually an incidental finding, occasionally it is the most pronounced clinical manifestation of the disease, and may present a difficult diagnostic problem. It has to be considered in the differential diagnosis of diffuse miliary infiltrations or consolidation seen on the chest radiographs, especially in countries where both pulmonary tuberculosis and leptospirosis are not uncommon diseases.
本文描述了两例以咳嗽和咯血为表现的钩端螺旋体病病例及其肺部放射学特征。文中回顾了各种胸部放射学表现以及病变的发病机制和病理。尽管钩端螺旋体病所致出血性肺炎引起的肺部受累通常是偶然发现，但偶尔它是该病最明显的临床表现，可能会带来诊断难题。在胸部X线片上出现弥漫性粟粒状浸润或实变的鉴别诊断中必须考虑到这一点，尤其是在肺结核和钩端螺旋体病均非罕见疾病的国家。
