title: [Pulmonary compromise in leptospirosis].
abstract: To study the pulmonary complications in leptospirosis case records of 23 such patients admitted at the Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brasil, were reviewed. Hemoptysis were seen in 21.7% and sputal blood in 30.4% of patients. Arterial gasometry detected hypoxemia and hypocapnia in most cases. Thoracic radiology showed an alveolar pattern in 60% of the patients, alveolo-interstitial in 20%, interstitial in 6%, and in 14% the lungs were considered to be normal. Necropsy of 13 cases showed edema, congestion and hemorrhage in the lungs in all cases. Hyaline membrane was found in 30% and fibrin thrombi in 46% of these cases, resulting in a diagnosis of adult respiratory distress syndrome and acute disseminated intravascular coagulation (consumption coagulopathy) in leptospirosis.
authors.affiliation: Hospital Universitário Antônio Pedro, Niterói, RJ.
authors.forename: J E
authors.initials: JE
authors.lastname: de Carvalho
authors.forename: E dos S
authors.initials: Edos S
authors.lastname: Marchiori
authors.forename: J B
authors.initials: JB
authors.lastname: Guedes e Silva
authors.forename: B A
authors.initials: BA
authors.lastname: Netto
authors.forename: W
authors.initials: W
authors.lastname: Tavares
authors.forename: A V
authors.initials: AV
authors.lastname: de Paula
mesh_terms: D000328:Adult; D000368:Aged; D000907:Antibodies, Bacterial / Q000097:blood; D005260:Female; D006801:Humans; D007921:Leptospira interrogans / Q000276:immunology; D041341:Leptospira interrogans serovar canicola / Q000276:immunology; D007922:Leptospirosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008171:Lung Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014895:Weil Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology
chemical_list: D000907:Antibodies, Bacterial
vernacular_title: Comprometimento pulmonar na leptospirose.