Multiple Pulmonary Nodules in Leptospirosis
| Autor: | Daisuke Shiojiri, Ran Nagai, Yasuyuki Kato, Nobuo Koizumi, Satoshi Kutsuna, Norio Ohmagari, Kei Yamamoto |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty Case Report 030204 cardiovascular system & hematology multiple pulmonary nodules 03 medical and health sciences Young Adult 0302 clinical medicine Leptospira Zoonoses Internal Medicine Sore throat medicine Animals Humans leptospirosis Seroconversion Multiple Pulmonary Nodules biology business.industry General Medicine biology.organism_classification medicine.disease Leptospirosis Antibodies Bacterial Bacteremia 030211 gastroenterology & hepatology medicine.symptom Complication business Vasculitis Weil Disease |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 |
| Popis: | A 21-year-old man presented with the chief complaints of fever and sore throat after visiting Cambodia and Thailand. Computed tomography revealed multiple pulmonary nodules. After performing antibiotic therapy, the pulmonary nodules without bacteremia disappeared completely. Paired microscopic agglutination tests revealed seroconversion against Leptospira serogroup Autumnalis. Thus, he was diagnosed with multiple pulmonary nodules caused by leptospirosis. Leptospirosis is a common zoonosis that occurs in tropical and subtropical areas. Its various clinical features include unspecified fever and Weil's disease. Although diffuse alveolar hemorrhaging is known to occur in severe leptospirosis, multiple pulmonary nodules resembling septic emboli or vasculitis are a rare complication. |
| Databáze: | OpenAIRE |
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