Revista Portuguesa de Pneumologia Revista Portuguesa de Pneumologia
Rev Port Pneumol 2007;13:827-39 - Vol. 13 Num.6 DOI: 10.1016/S2173-5115(07)70375-5
Leptospirose pulmonar
Pulmonary leptospirosis
João Cláudio Barroso Pereira1, Amorita Grijó2, Maria Cristina B Mackay3, Beatriz Guerra Vitral4, Sra Althair de Araújo Silva5, Cláudio de Castro Lázaro6
1 Médico da Emergência do Hospital Municipal Nelson de Sá Earp – Município de Petrópolis, Rio de Janeiro – Brasil, e médico tisiologista do Serviço da Assistência Especializada-SAE da prefeitura Municipal de Belford Roxo – Rio de Janeiro-Brasil
2 Médica infectologista da prefeitura de Petrópolis e Professora da Faculdade de Medicina de Petrópolis
3 Médica infectologista da prefeitura de Petrópolis e Professora da Faculdade de Medicina de Petrópolis
4 Médica infectologista da prefeitura de Petrópolis e Professora da Faculdade de Medicina de Petrópolis
5 Administradora do Serviço de Atendimento Especializado, Belford Roxo – Rio de Janeiro
6 Director Geral do Hospital Municipal Nelson de Sá Earp, Petrópolis – Rio de Janeiro
Received 28 March 2006, Accepted 11 June 2007
Resumo

No presente artigo, os autores discutem brevemente sobre a leptospirose, realçando a forma pulmonar da doença. Revê-se a patologia, achados clínicos, diagnóstico por métodos de imagem e broncoscopia e tratamento da leptospirose pulmonar. É também lembrado o diagnóstico clínico e radiológico precoces, para que se possa iniciar terapêutica adequada. Os autores concluem que a forma pulmonar da leptospirose deve ser sempre considerada como causa e diagnóstico diferencial da hemorragia alveolar difusa e síndroma de dificuldade respiratória do adulto.

Abstract

In this article, the authors discuss briefly the leptospirosis, emphasizing mainly the pulmonary form of disease. The authors review pathology, clinical findings, imaging and broncoscopy diagnosis, treatment of pulmonary leptospirosis. It is also remembered about early clinics and radiology diagnosis to start therapeutics. The authors conclude that pulmonary form of disease must always be remembered and considered as cause and differential diagnosis of Diffuse Alveolar Hemorrhage and Adult Respiratory Distress Syndrome.

Palavras-chave
Leptospirose, manifestações respiratórias, hemorragia alveolar difusa e síndroma da dificuldade respiratória do adulto
Key-words
Leptospirosis, respiratory manifestations, diffuse alveolar hemorrhage and adult respiratory distress syndrome
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Copyright © 2007. Sociedade Portuguesa de Pneumologia
Rev Port Pneumol 2007;13:827-39 - Vol. 13 Num.6 DOI: 10.1016/S2173-5115(07)70375-5