HENDRIKUS H. BERENDSEN, M.D.; JOHANNES H. ROMMES, M.D.; BONNO S. HYLKEMA, M.D.; AAF F. MEINESZ, M.D.; HENK J. SLUITER, M.D.
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To the editor: The clinical picture of leptospirosis is often nonspecific. Ninety percent or more of all patients are anicteric(l). No mortality is seen in those patients; when jaundice is present, mortality is 17%. Few reports deal with pulmonary involvement in leptospirosis. In fact, in a series of 483 cases reviewed by Heath and Alexander(2), no deaths due to respiratory failure were mentioned. We recently saw two patients in whom life-threatening acute respiratory failure was the most prominent feature.
A 55-year-old man was referred to our department. He had a 5-day history of influenza-like symptoms, hemoptysis, and ultimately progressive dyspnea.
BERENDSEN HH, ROMMES JH, HYLKEMA BS, MEINESZ AF, SLUITER HJ. Adult Respiratory Failure with Leptospirosis. Ann Intern Med. ;101:402. doi: 10.7326/0003-4819-101-3-402_2
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Published: Ann Intern Med. 1984;101(3):402.
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