Open AccessSevere Leptospira interrogans serovar Icterohaemorrhagiae infection with hepato‐renal‐pulmonary involvement treated with corticosteroids
Author(s) -
Schulze Marco H.,
Raschel Heribert,
Langen HeinzJakob,
Stich August,
Tappe Dennis
Publication year - 2014
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.91
Subject(s) - medicine , leptospirosis , leptospira interrogans , antibiotics , serotype , intensive care medicine , pulmonary infection , immunology , leptospira , pathology , microbiology and biotechnology , biology
Key Clinical Message The traditional concept of immediate antibiotic treatment in suspected leptospirosis seems to be especially important for patients up to day 4 of clinical illness. As immune mechanisms probably play a crucial role in advanced leptospirosis with presumed pulmonary hemorrhages, patients might benefit from corticosteroids or other immunosuppressive agents beside antibiotics.