• Je něco špatně v tomto záznamu ?

Leptospirosis-Associated Severe Pulmonary Hemorrhagic Syndrome with Lower Back Pain as an Initial Symptom

MM. Søndergaard, A. Tursunovic, P. Thye-Rønn, JC. Bang, IM. Hansen,

. 2016 ; 17 (-) : 883-886. [pub] 20161124

Jazyk angličtina Země Spojené státy americké

Typ dokumentu kazuistiky, časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc17013380

BACKGROUND Leptospirosis is a zoonosis transmitted through urine of infected animals. Symptoms range from mild influenza-like symptoms to severe pulmonary hemorrhagic syndrome (SPHS); the latter are often fatal. The serogroup distribution in Denmark has changed from 1988 to 2012, with Icterohaemorrhagiae and Sejroe now being predominant. CASE REPORT A 45-year-old Danish woman living in an area endemic for Hanta virus, without prior medical history, was admitted because of lower back pain radiating to the left hip, fever, headache, nausea, and malaise. Two weeks before admission she had been bitten by a mouse or a rat. Blood tests revealed raised white cells and CRP, electrolyte imbalances, raised creatinine, low thrombocytes, and a slightly decreased clotting factor (II, VII, and X). Treatment with broad-spectrum intravenous antibiotics and supporting therapy was initiated very quickly. Eight hours after admission she died from respiratory failure where severe hemoptysis was observed. Leptospiral DNA was later detected in a urine sample. CONCLUSIONS This case represents leptospirosis with severe pulmonary hemorrhagic syndrome. In spite of immediate treatment with broad-spectrum antibiotics, the patient died a few hours after hospital admission.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc17013380
003      
CZ-PrNML
005      
20170426095423.0
007      
ta
008      
170413s2016 xxu f 000 0|eng||
009      
AR
024    7_
$a 10.12659/ajcr.900477 $2 doi
035    __
$a (PubMed)27881835
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxu
100    1_
$a Søndergaard, Mads Madsen $u Department of Rheumatology, Odense University Hospital, Svendborg Hospital, Svendborg, Denmark.
245    10
$a Leptospirosis-Associated Severe Pulmonary Hemorrhagic Syndrome with Lower Back Pain as an Initial Symptom / $c MM. Søndergaard, A. Tursunovic, P. Thye-Rønn, JC. Bang, IM. Hansen,
520    9_
$a BACKGROUND Leptospirosis is a zoonosis transmitted through urine of infected animals. Symptoms range from mild influenza-like symptoms to severe pulmonary hemorrhagic syndrome (SPHS); the latter are often fatal. The serogroup distribution in Denmark has changed from 1988 to 2012, with Icterohaemorrhagiae and Sejroe now being predominant. CASE REPORT A 45-year-old Danish woman living in an area endemic for Hanta virus, without prior medical history, was admitted because of lower back pain radiating to the left hip, fever, headache, nausea, and malaise. Two weeks before admission she had been bitten by a mouse or a rat. Blood tests revealed raised white cells and CRP, electrolyte imbalances, raised creatinine, low thrombocytes, and a slightly decreased clotting factor (II, VII, and X). Treatment with broad-spectrum intravenous antibiotics and supporting therapy was initiated very quickly. Eight hours after admission she died from respiratory failure where severe hemoptysis was observed. Leptospiral DNA was later detected in a urine sample. CONCLUSIONS This case represents leptospirosis with severe pulmonary hemorrhagic syndrome. In spite of immediate treatment with broad-spectrum antibiotics, the patient died a few hours after hospital admission.
650    _2
$a DNA bakterií $x analýza $7 D004269
650    _2
$a diferenciální diagnóza $7 D003937
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a hemoptýza $x diagnóza $x etiologie $7 D006469
650    _2
$a lidé $7 D006801
650    _2
$a Leptospira $x genetika $7 D007919
650    _2
$a leptospiróza $x komplikace $x mikrobiologie $7 D007922
650    _2
$a lumbalgie $x diagnóza $x etiologie $7 D017116
650    _2
$a lidé středního věku $7 D008875
650    _2
$a rentgendiagnostika hrudníku $7 D013902
650    _2
$a stupeň závažnosti nemoci $7 D012720
650    _2
$a syndrom $7 D013577
655    _2
$a kazuistiky $7 D002363
655    _2
$a časopisecké články $7 D016428
700    1_
$a Tursunovic, Amela $u Department of Cardiology, Odense University Hospital, Svendborg Hospital, Svendborg, Denmark.
700    1_
$a Thye-Rønn, Peter $u Diagnostic Center, Odense University Hospital, Svendborg Hospital, Svendborg, Denmark.
700    1_
$a Bang, Jacob Christian $u Department of Radiology, Odense University Hospital, Svendborg Hospital, Svendborg, Czech Republic.
700    1_
$a Hansen, Inger Marie Jensen $u Department of Rheumatology, Odense University Hospital, Svendborg Hospital, Svendborg, Denmark.
773    0_
$w MED00183037 $t The American journal of case reports $x 1941-5923 $g Roč. 17, č. - (2016), s. 883-886
856    41
$u https://pubmed.ncbi.nlm.nih.gov/27881835 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20170413 $b ABA008
991    __
$a 20170426095741 $b ABA008
999    __
$a ok $b bmc $g 1199845 $s 974158
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2016 $b 17 $c - $d 883-886 $e 20161124 $i 1941-5923 $m The american journal of case reports $n Am J Case Rep $x MED00183037
LZP    __
$a Pubmed-20170413

Najít záznam

Citační ukazatele

Možnosti archivace