title: Leptospirosis presenting as diffuse alveolar hemorrhage: case report and literature review.
abstract: The literature on diffuse alveolar hemorrhage heavily emphasizes the causal role of vasculitides. We present a patient with diffuse alveolar hemorrhage caused by leptospirosis. Although the pathology in leptospirosis occurs secondary to a vasculitic process, this disease is not listed as a cause of diffuse alveolar hemorrhage in the review literature. In the right clinical scenario, the disease should be considered in a patient presenting with diffuse alveolar hemorrhage.
authors.affiliation: Department of Medicine (Dr. Luks), University of Washington, Seattle 98108, USA.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Luks
authors.forename: Sambasiva
authors.initials: S
authors.lastname: Lakshminarayanan
authors.forename: Jan V
authors.initials: JV
authors.lastname: Hirschmann
mesh_terms: D003937:Diagnosis, Differential; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008111:Liver Function Tests; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000175:diagnosis*; D011650:Pulmonary Alveoli; D014057:Tomography, X-Ray Computed; D014895:Weil Disease / Q000175:diagnosis*