Hypotension, renal failure, and pulmonary complications in leptospirosis
| Autor: | Surachai Niwattayakul, Janthira Homvijitkul, Visith Sitprija, Orawan Khow, Kannika Niwattayakul |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Lung Diseases Male medicine.medical_specialty ARDS Adolescent Blood Pressure urologic and male genital diseases Critical Care and Intensive Care Medicine Kidney Severity of Illness Index Blood Urea Nitrogen medicine Humans Leptospirosis Child Aged Hyperbilirubinemia Uremia business.industry Tumor Necrosis Factor-alpha Respiratory disease Pulmonary Complication Acute kidney injury General Medicine Acute Kidney Injury Middle Aged medicine.disease Pulmonary edema Thailand Survival Analysis Surgery Blood pressure Treatment Outcome Nephrology Anesthesia Creatinine Female Pulmonary hemorrhage Hypotension business Biomarkers Kidney disease |
| Zdroj: | Renal failure. 24(3) |
| ISSN: | 0886-022X |
| Popis: | During a recent outbreak of leptospirosis in northeastern Thailand, 148 patients with serologically diagnosed leptospirosis were seen in Loei hospital. The common serotypes were L. pyrogenes, and L. sejroe. Hypotension with a mean arterial pressure less than 70 mmHg upon admission or within 24 h after admission was observed in 94 patients or 64%. 30 patients had normal renal function; 30 patients had prerenal azotemia with mild pulmonary complication in 2; and 34 patients had acute renal failure. 29 patients with acute renal failure had pulmonary complications including pulmonary hemorrhage in 8, pulmonary edema in 3, acute respiratory distress syndrome (ARDS) in 14 and interstitial pneumonitis in 4. 54 patients had normal blood pressure. In this group 5 patients had acute renal failure; 16 had prerenal azotemia and 33 had normal renal function. Interstitial pneumonitis was noted in one patient with prerenal azotemia. Less renal complication and minimal pulmonary complication were seen in leptospirosis patients with normal blood pressure. The patients with normal renal function had no pulmonary complication. Good association existed between hypotension, renal failure and pulmonary complications. |
| Databáze: | OpenAIRE |
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