Abstract

RANGEL-RIVERA, Karen Lorena; RANGEL-RIVERA, Diego Alejandro; FAJARDO-RIVERO, Javier Enrique  and  PEREA-BAUTISTA, Raphael Ayrton. Alveolar hemorrhage in febril-tropical syndrome: case report of leptospirosis with lung commitment. Medicas UIS [online]. 2022, vol.35, n.2, e501.  Epub Dec 03, 2022. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v35n2-2022003.

Leptospirosis is a relevant infectious disease when there is a patient with an ictero-hemorrhagic syndrome, especially in tropical countries such as Colombia. The following is the case of a 21-year-old male patient, with an acute clinical picture given by fever, elevated bilirubin, associated with diarrhea and thrombocytopenia. Initially, a presumptive diagnosis of dengue was made. However, during his evolution, he presented hemorrhage and respiratory distress with a hematic secretion that required endotracheal intubation. After inquiring about the epidemiological data, leptospirosis was considered a differential diagnosis. Serial serology for leptospira IgM was requested and was positive. It is essential to know this type of case due to pulmonary affections as a rare manifestation but highly associated with mortality. Finally, with adequate antibiotic and supportive management, a good clinical evolution of this patient was obtained.

Keywords : Leptospirosis; Weil Disease; Zoonoses.

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