SciELO - Scientific Electronic Library Online

 
vol.22 número3Vertebroplastia percutánea: Avances en el tratamiento del dolor raquídeoHiperinfección por Strongyloides stercoralis (Bavay 1876; Stiles y Hassall 1902) en Uruguay índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Links relacionados

Compartir


Revista Médica del Uruguay

versión On-line ISSN 1688-0390

Resumen

BREIJO, Mariela et al. Leptospirosis con compromiso respiratorio predominante: Presentación de cinco casos clínicos. Rev. Méd. Urug. [online]. 2006, vol.22, n.3, pp.220-225. ISSN 1688-0390.

Summary Leptospirosis is an acute general infection, re-emerging in Uruguay and the South Cone. Breath involvement is frequent but usually mild and misdiagnosed. It is unusual as starting of the disease. During the last years clinical changes have been observed with higher incidence of serious anictericia forms, non renal failure and predominant pulmonar involvement. We report on five clinical cases of  primarily  pulmonar leptospirosis admitted in the Maciel Hospital during 2005: five young men with occupations of risk and contact with roders. They presented acute respiratory syndrome with fever, hemoptoic cough and respiratory failure (mean PO2 70 Hg mm, SaO2 94%), and extrapulmonary symptoms: intense myalgias, cephaleas, ocular pain and conjunctival hyperemia. Pleuropulmonar examination could be normal or may present bilateral and diffuse signs. Most of these cases did not shown ictericia and none of them had serious renal failure. Radiologically, bilateral and diffuse alveolar attern is predominant which is compatible with pulmonar haemorrage. Leptospirosis diagnosis is based on suspicion and compatible epidemiologic clinical context and confirmed by serologic tests. All patients underwent respiratory function and beta-lactam antibiotics treatment leading to a clinical improvement.

Palabras clave : Leptospirosis [ diagnóstico]; Leptospirosis [ complicaciones]; Leptospirosis [etiología]; INSUFICIENCIA RESPIRATORIA [ etiología].

        · resumen en Español | Francés | Portugués     · texto en Español

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons