title: ["Post traumatic" leptospirosis complicated by acute respiratory insufficiency].
abstract: BACKGROUND
  Leptospirosis is a rare cause of alveolar haemorrhage. The diagnosis is often delayed particularly when the mode of infection is atypical. These serious complications require prompt antibiotic treatment.
  
  
  METHODS
  A 21-year-old man was involved in a road accident and found lying unconscious in a roadside ditch containing stagnant water. Ten days later he presented with bilateral interstitial pneumonia and rapidly increasing hypoxaemia associated with cholestasis and liver cell necrosis. Broncho-alveolar lavage revealed alveolar haemorrhage. There was satisfactory resolution following antibiotic therapy.
  
  
  CONCLUSIONS
  The diagnosis of leptospirosis was considered initially despite negative serology (Martin and Petit) and confirmed by sero-conversion 20 days after the onset of symptoms.
authors.affiliation: Service de Réanimation Médico-Chirurgicale, Hôpital André Mignot, CH Versailles, Le Chesnay, France.
authors.forename: J
authors.initials: J
authors.lastname: Clarissou
authors.forename: J-F
authors.initials: JF
authors.lastname: le Calvez
authors.forename: L
authors.initials: L
authors.lastname: Desbouchages
authors.forename: N
authors.initials: N
authors.lastname: Ayoub
authors.forename: G
authors.initials: G
authors.lastname: Troche
authors.forename: B
authors.initials: B
authors.lastname: Priolet
authors.forename: F
authors.initials: F
authors.lastname: Bruneel
authors.forename: P
authors.initials: P
authors.lastname: Guézennec
authors.forename: P
authors.initials: P
authors.lastname: Petitpretz
authors.forename: J-P
authors.initials: JP
authors.lastname: Bedos
mesh_terms: D000063:Accidents, Traffic; D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002779:Cholestasis / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007922:Leptospirosis / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D008099:Liver / Q000473:pathology; D008171:Lung Diseases / Q000209:etiology; D008297:Male; D009336:Necrosis; D012131:Respiratory Insufficiency / Q000209:etiology*; D014881:Water Supply
chemical_list: D000900:Anti-Bacterial Agents