Severe Leptospira interrogans serovar Icterohaemorrhagiae infection with hepato-renal-pulmonary involvement treated with corticosteroids

被引：7

作者：

Schulze, Marco H. ^{[1
,2
]}

Raschel, Heribert ^{[3
]}

Langen, Heinz-Jakob ^{[4
]}

Stich, August ^{[2
]}

Tappe, Dennis ^{[5
]}

机构：

[1] Univ Med Ctr Gottingen, Inst Med Microbiol, Kreuzbergring 57, D-37075 Gottingen, Germany

[2] Med Miss Hosp, Dept Trop Med, D-97074 Wurzburg, Germany

[3] Bavarian Hlth & Food Safety Author, D-97074 Oberschleissheim, Germany

[4] Med Miss Hosp, Dept Radiol, D-97074 Wurzburg, Germany

[5] Bernhard Nocht Inst Trop Med, D-20359 Hamburg, Germany

来源：

CLINICAL CASE REPORTS | 2014年 / 2卷 / 05期

关键词：

Canoeing; corticosteroids; hepato-pulmonary syndrome; hepato-renal syndrome; Leptospira interrogans; leptospirosis;

D O I：

10.1002/ccr3.91

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：191 / 196

页数：6

共 32 条

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