[Diffuse alveolar hemorrhage and myositis in icterohemorrhagic leptospirosis. Rapid control by a single bolus of corticoids].
Leptospirosis is one of the commonest causes of diffuse alveolar haemorrhage. Despite good sensitivity to penicillin and current techniques of ventilation, there remains a considerable mortality which is particularly linked to the initial pulmonary disease at presentation. The authors describe a new case of a gravely ill patient with leptospirosis and sever hypoxaemia. There was diffuse alveolar haemorrhage and myositis thus a bolus of corticosteroids was used over the first 24 hours complementary to the traditional treatment.
Service de Pneumologie et Maladies Infectieuses, CHG de Saint-Pierre.
J P
JP
Courtin
P
P
Carré
P
P
Poubeau
M
M
Di Francia
E
E
Jarlet
A
A
Michault
C
C
Amat
C A
CA
Arvin-Bérod
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006469:Hemoptysis / Q000209:etiology; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D009220:Myositis / Q000188:drug therapy / Q000209:etiology*; D011650:Pulmonary Alveoli / Q000000981:diagnostic imaging; D011859:Radiography; D013997:Time Factors; D014895:Weil Disease / Q000150:complications* / Q000188:drug therapy
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D008775:Methylprednisolone
Hémorragie alvéolaire diffuse et myosite au cours d'une leptospirose ictéro-hémorragique. Contrôle rapide par un seul bolus de corticoïdes.