title: Unilateral leptospiral pneumonia and cold agglutinin disease.
abstract: Pneumonia that is unresponsive to appropriate antibiotic therapy suggests an infection due to more unusual or resistant organisms. In this report, a child with unilateral pneumonia, pleural effusion, and anti-I cold hemagglutinin antibodies is presented. The usual causes of this clinical picture were suspected and treated, but the child did not improve. Features of her history suggested a more unusual etiology, and a diagnosis of leptospirosis was made. A brief discussion of leptospiral disease in children is provided.
authors.affiliation: Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI 96859-5000, USA.
authors.forename: B
authors.initials: B
authors.lastname: Bowsher
authors.forename: C W
authors.initials: CW
authors.lastname: Callahan
authors.forename: D A
authors.initials: DA
authors.lastname: Person
authors.forename: L
authors.initials: L
authors.lastname: Ruess
mesh_terms: D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010996:Pleural Effusion / Q000150:complications; D018410:Pneumonia, Bacterial / Q000150:complications / Q000175:diagnosis*; D014895:Weil Disease / Q000150:complications / Q000175:diagnosis*