Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 14, Number 3—March 2008
Dispatch

Leptospirosis-associated Severe Pulmonary Hemorrhagic Syndrome, Salvador, Brazil

Edilane L. Gouveia*, John Metcalfe†, Ana Luiza F. de Carvalho*, Talita S.F. Aires*, José Caetano Villasboas-Bisneto*, Adriano Queirroz*, Andréia C. Santos*, Kátia Salgado‡, Mitermayer G. Reis*, and Albert I. Ko*§Comments to Author 
Author affiliations: *Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brazil; †University of California, San Francisco, California, USA; ‡Hospital Couto Maia, Secretaria da Saúde do Estado da Bahia, Salvador, Bahia, Brazil; §Weill Medical College of Cornell University, New York, New York, USA;

Main Article

Table 2

Pulmonary manifestations of patients with leptospirosis-associated severe pulmonary hemorrhagic syndrome (n = 47)

Characteristics* No. responses No. (%) or mean ± SD
Onset of massive hemoptysis
During hospital admission 47 7 (15)
After hospitalization and before endotracheal intubation 47 21 (45)
During or after endotracheal intubation
 47
 19 (40)
Chest radiographic examination
Bilateral alveolar infiltrates 24 21 (88)
Bilateral interstitial infiltrates
 24
 3 (12)
PaO2/FiO2, mm Hg 33 200 ± 155
Acute lung injury† 33 25 (76)
Acute respiratory distress syndrome‡ 33 21 (64)

*Findings at initial evaluation. SD, standard deviation.
†Defined as a ratio between arterial partial pressure of O2 and inspired O2 fraction (PaO2/FiO2) <300 mm Hg and the presence of bilateral alveolar or interstitial infiltrates on chest radiograph or bilateral crepitus on physical examination, without clinical evidence of increased left atrial pressure.
‡Defined as PaO2/FiO2 <200 mm Hg in addition to criteria for acute lung injury.

Main Article

Page created: July 07, 2010
Page updated: July 07, 2010
Page reviewed: July 07, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external