title: [Acute pleuro-pneumonitis resulting from leptospirosis].
abstract: We report a case of acute pneumonitis with pleural effusion and respiratory distress syndrome that was the inaugural sign of leptospirosis in a 37-year-old patient exposed to rat dejections at home. The patient was given penicillin and oxygen therapy with evacuation of the pleural effusion. Lung manifestations in leptospirosis usually occur as non-specific cough and hemoptysis. Pleural effusion is uncommon. Adult respiratory distress syndrome and profuse hemoptysis can also occur, requiring special care.
authors.affiliation: Service de Pneumologie, Hôpital civil, CHU, 67091 Strasbourg.
authors.forename: B
authors.initials: B
authors.lastname: Mennecier
authors.forename: S
authors.initials: S
authors.lastname: Richter
authors.forename: A
authors.initials: A
authors.lastname: Dietemann
authors.forename: G
authors.initials: G
authors.lastname: Pauli
mesh_terms: D000328:Adult; D006469:Hemoptysis; D006801:Humans; D007922:Leptospirosis / Q000150:complications*; D008297:Male; D010996:Pleural Effusion / Q000209:etiology / Q000382:microbiology; D011001:Pleuropneumonia / Q000209:etiology* / Q000382:microbiology; D012128:Respiratory Distress Syndrome / Q000209:etiology