Alani F S, Mahoney M P, Ormerod L P, Wright P A, Garrues M
Department of Medicine, Blackburn Royal Infirmary, Lancashire, U.K.
J Infect. 1993 Nov;27(3):281-3. doi: 10.1016/0163-4453(93)92155-p.
A 20-year-old man who looked after a pack of hounds was admitted with a short history of headache, fever, haemoptysis and muscle cramps. Investigations showed type I respiratory failure with diffuse pneumonitis, pyogenic meningitis and raised liver enzymes. Leptospirosis was suspected and treated with the appropriate antibiotics leading to a full recovery. The diagnosis was confirmed by a titre of I/2560 to Leptospira icterohaemorrhagiae. The case illustrates an unusual presentation of this infection and argues for early antibiotic treatment.
一名20岁照顾一群猎犬的男子因头痛、发热、咯血和肌肉痉挛的短病程入院。检查显示I型呼吸衰竭伴弥漫性肺炎、化脓性脑膜炎和肝酶升高。怀疑为钩端螺旋体病，并使用适当抗生素治疗，患者完全康复。通过对出血性黄疸钩端螺旋体的滴度为I/2560确诊。该病例说明了这种感染的一种不寻常表现，并支持早期抗生素治疗。
