A case of severe leptospirosis with Jarisch–Herxheimer reaction presenting as respiratory failure
Bibliographic Data
| ID | 22086007 |
|---|---|
| Authors | Yunzhen Shi (Wenzhou Medical University), Wanru Guo (0009-0000-3007-5087, First Affiliated Hospital Zhejiang University), Ming Hu (0000-0003-2583-1161, First Affiliated Hospital Zhejiang University), Yuxuan Wang (0000-0001-5549-3584, Wenzhou Medical University), Jingnan Li (0000-0003-4122-6156, Wenzhou Medical University), Wenjuan Hu (0000-0002-6208-7258, First Affiliated Hospital Zhejiang University), Xiaomeng Li (0000-0002-0727-1263, First Affiliated Hospital Zhejiang University), Kaijin Xu (0000-0001-8126-5008, First Affiliated Hospital Zhejiang University, corresponding author) |
| Year | 2023 |
| Volume | 11 |
| Pages | 1125306-1125306 |
| Publication date | 2023-02-10 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1125306 |
| PMID | 36844847 |
| OpenAlex | W4319984906 |
| Language | EN |
| References cited | 12 |
Background: spp. The treatment of penicillin or tetracycline can cause a Jarisch-Herxheimer reaction (JHR), which can lead to acute respiratory distress syndrome (ARDS) and multi-organ failure in severe cases. The overall course of evolution and imaging features of a JHR exacerbation of leptospirosis have rarely been reported. Case presentation: We present a case of leptospirosis complicated by pulmonary alveolar hemorrhage and a Jarisch-Herxheimer reaction (JHR) that required respiratory and vasopressor support. This case demonstrates a well-defined course of evolution of JHR and the imaging features. Conclusions: Leptospirosis is easily misdiagnosed in some sporadic areas, and JHR complicates its management. Early diagnosis and appropriate treatment can reduce the mortality of severe leptospirosis with JHR
Intensive care medicine · Leptospirosis · Pathology · Respiratory failure · Respiratory system · Leprosy Research and Treatment · Leptospirosis research and findings · Lymphadenopathy Diagnosis and Analysis · Medicine · Internal Medicine
| Highly cited | No |
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