Massive pulmonary haemorrhage due to leptospirosis.
A young man with leptospirosis developed massive pulmonary haemorrhage. This was remarkable both in its severity and in its occurrence early in the clinical course - before the onset or presence of jaundice, renal failure or of a serological diagnosis. It occurred in the absence of a coagulopathy or thrombocytopenia and presumably was a consequence of the capillary fragility characteristic of the disease - perhaps precipitated in this instance by mechanical ventilation.
Department of Anaesthesia and Intensive Care, Mater Misericordiae Hospital, Dublin, Ireland.
P
P
Allen
S
S
Raftery
D
D
Phelan
D000328:Adult; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007922:Leptospirosis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D008171:Lung Diseases / Q000209:etiology* / Q000628:therapy; D008297:Male; D010400:Penicillin G / Q000627:therapeutic use; D012138:Respiratory Therapy
D010400:Penicillin G