title: Weil's disease: an unusually fulminant presentation characterized by pulmonary hemorrhage and shock.
abstract: A case of fulminant leptospirosis is presented, manifesting as rapid progression from acute undifferentiated febrile illness to refractory shock, jaundice, renal failure and massive pulmonary hemorrhage. The patient received aggressive intensive care unit support including prolonged intubation and ventilation. This case emphasizes that acute leptospirosis may well not be characterized by the classic scenario of a biphasic illness, but rather by a fulminant, monophasic illness.
authors.affiliation: Pedreira Geral Hospital, São Paulo, Brazil.
authors.forename: A
authors.initials: A
authors.lastname: Spichler
authors.forename: M
authors.initials: M
authors.lastname: Moock
authors.forename: E G
authors.initials: EG
authors.lastname: Chapola
authors.forename: J
authors.initials: J
authors.lastname: Vinetz
mesh_terms: D000328:Adult; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007921:Leptospira interrogans / Q000302:isolation & purification*; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D012720:Severity of Illness Index; D012769:Shock / Q000209:etiology*; D014895:Weil Disease / Q000150:complications*