Comprometimento pulmonar na leptospirose

Revista da Sociedade Brasileira de Medicina Tropical

Carvalho, Jorge Eduardo Manhães de¹  Netto, Bernardino Alves de Souza¹  Marchiori, Edson dos Santos¹  Paula, Aloysio Veiga de¹  Silva, João Batista Guedes e¹  Tavares, Walter¹ 

关键词: Leptospirosis;    Lung;    Consumption coagulopathy;    ARDS;    Adult respiratory distress syndrome;   

DOI  :  10.1590/S0037-86821992000100004

学科分类：农业科学（综合）

来源: Sociedade Brasileira de Medicina Tropical

【 摘 要 】

Tostudy thepulmonary complications in leptospirosis case records of 23 such patients admitted at the Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, Brasil, were reviewed. Hemoptysis were seen in 21.7% and sputal blood in 30.4% of patients. Arterial gasometry detected hypoxemia and hypocapnia in most cases. Thoracic radiology showed an alveolar pattern in 60% of the patients, alveolo-interstitial in 20%, interstitial in 6%, and in 14% the lungs were considered to be normal Necropsy of 13 cases showed edema, congestion and hemorrhage in the lungs in all cases. Hyaline membrane was found in 30% and fibrin thrombi in 46% of these cases, resulting in a diagnosis of adult respiratory distress syndrome and acute disseminated intravascular coagulation (consumption coagulopathy) in leptospirosis.

【 授权许可】

Unknown