Labalme M J, Chaabane-Masmoudi S, Mathieu L, Perol M, Nesme P, Guérin J C
Hôpital de la Croix-Rousse, Lyon.
Rev Mal Respir. 1996 Jul;13(3):310-2.
We report observation of a patient of 25 years who presented with an isolated intra-alveolar haemorrhage occurring during the course of an illness suggestive of septicaemia. Considering the epidemiological context of inhalation of water from the River Saone, the diagnosis of acute leptospirosis ictero-haemorrhagica was considered and was confirmed by serological tests. Several publications draw attention to the pulmonary manifestations of acute leptospirosis which remains rare and poorly understood. Pulmonary disease is characterised not by an infectious alveolitis but by the occurrence of intra-alveolar haemorrhage whose pathogenetic mechanism remains under discussion.
我们报告了一名25岁患者的观察情况，该患者在疑似败血症的病程中出现了孤立性肺泡内出血。考虑到从索恩河吸入水的流行病学背景，考虑诊断为急性黄疸出血型钩端螺旋体病，并通过血清学检测得到证实。一些出版物提请注意急性钩端螺旋体病的肺部表现，该病仍然罕见且了解甚少。肺部疾病的特征不是感染性肺泡炎，而是肺泡内出血的发生，其发病机制仍在讨论中。
