Severe Leptospira interrogans serovar Icterohaemorrhagiae infection with hepato‐renal‐pulmonary involvement treated with corticosteroids. Issue 5 (15th September 2014)

• Record Type: Journal Article
• Authors: Schulze, Marco H.; Raschel, Heribert; Langen, Heinz‐Jakob; Stich, August; Tappe, Dennis
• Is Part Of: Clinical case reports. Volume 2:Issue 5(2014:Oct.)
• Page Start: 191
• Page End: 196
• Publication Date: 2014-09-15
• Subjects: Canoeing -- corticosteroids -- hepato‐pulmonary syndrome -- hepato‐renal syndrome -- Leptospira interrogans -- leptospirosis; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.91
• Languages: English
• ISSNs: 2050-0904

Abstract

Abstract : The traditional concept of immediate antibiotic treatment in suspected leptospirosis seems to be especially important for patients up to day 4 of clinical illness. As immune mechanisms probably play a crucial role in advanced leptospirosis with presumed pulmonary hemorrhages, patients might benefit from corticosteroids or other immunosuppressive agents beside antibiotics. Key Clinical Message: The traditional concept of immediate antibiotic treatment in suspected leptospirosis seems to be especially important for patients up to day 4 of clinical illness. As immune mechanisms probably play a crucial role in advanced leptospirosis with presumed pulmonary hemorrhages, patients might benefit from corticosteroids or other immunosuppressive agents beside antibiotics.