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[Pulmonary leptospirosis. Two cases].
H El Ouazzani1, J Benomar, M Soualhi
1Service de Pneumologie, Hôpital Moulay-Youssef, Rabat, Maroc. elouazzani_hanane@yahoo.fr
Revue De Pneumologie Clinique
|September 18, 2003
Summary
Leptospirosis, a bacterial infection, can cause severe lung disease. Early diagnosis and antibiotic treatment led to favorable outcomes in two patients with pulmonary leptospirosis.
Area of Science:
- Infectious Diseases
- Pulmonology
- Microbiology
Background:
- Leptospirosis is a zoonotic bacterial infection with diverse clinical presentations.
- Classical symptoms involve fever, liver, kidney, and neurological systems.
- Pulmonary involvement, though less common, presents as hemoptysis and is a significant cause of mortality.
Observation:
- Two patients, aged 22 and 32, presented with fever and hemoptysis.
- Extrapulmonary signs suggested leptospirosis.
- Pulmonary involvement was confirmed through diagnostic evaluation.
Findings:
- The patients received antibiotic treatment, including amoxicillin and doxycycline.
- Both patients showed a positive clinical, biological, and radiological response.
- Prompt treatment of pulmonary leptospirosis resulted in favorable outcomes.
Implications:
- This case series highlights the importance of considering leptospirosis in patients with unexplained pulmonary symptoms.
- Early diagnosis and appropriate antibiotic therapy are crucial for managing severe pulmonary leptospirosis.
- Recognizing pulmonary manifestations can improve patient outcomes and reduce mortality associated with this zoonotic disease.