title: Is it Time to Rethink the Use of Steroids for Pulmonary Leptospirosis?
abstract: Pulmonary involvement is a fairly common complication of leptospirosis. A high dose of steroids is often used in the treatment of pulmonary leptospirosis. Here we report two cases who developed severe invasive fungal infections following the use of steroids for pulmonary leptospirosis. Routine use of steroids for pulmonary leptospirosis may do more harm than good as the evidence for this practice is sparse.
authors.affiliation: Resident Doctor.
authors.forename: Raajeev V
authors.initials: RV
authors.lastname: Hingorani
authors.affiliation: Senior Associate Consultant.
authors.forename: Rishi
authors.initials: R
authors.lastname: Kumar
authors.affiliation: Consultant-General Medicine and H.O.D. Intensive Care Unit.
authors.forename: Ashit V
authors.initials: AV
authors.lastname: Hegde
authors.affiliation: Consultant Physician and Infectious Disease Specialist.
authors.forename: Rajeev N
authors.initials: RN
authors.lastname: Soman
authors.affiliation: Consultant Nephrologist.
authors.forename: Rasika A
authors.initials: RA
authors.lastname: Sirsat
authors.affiliation: Consultant Microbiologist, P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra.
authors.forename: Camilla
authors.initials: C
authors.lastname: Rodrigues
authors.affiliation: Consultant Microbiologist, P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra.
authors.forename: Anjali
authors.initials: A
authors.lastname: Shetty
mesh_terms: D005260:Female; D006801:Humans; D007075:Immunoglobulin M; D007919:Leptospira; D007922:Leptospirosis / Q000175:diagnosis* / Q000188:drug therapy / Q000401:mortality; D008171:Lung Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000401:mortality; D008297:Male; D008875:Middle Aged; D013256:Steroids / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D007075:Immunoglobulin M; D013256:Steroids