Caso Clínico/Case Report
Padrão de crazy-paving na leptospirose pulmonar: Correlação entre a tomografia computadorizada de alta resolução e os achados anatomopatológicos
Leptospirosis of the lung presenting with crazy-paving pattern: Correlation between the high-resolution CT and pathological findings
Edson Marchiori1,
, Taisa Davaus Gasparetto2, Dante L. Escuissato3, Gláucia Zanetti4
Corresponding author
edmarchiori@gmail.com
Correspondência / Correspondence address: Edson Marchiori – Rua Thomaz Cameron, 438. Valparaiso. CEP 25685.120, Petrópolis, Rio de Janeiro, Brasil
Correspondência / Correspondence address: Edson Marchiori – Rua Thomaz Cameron, 438. Valparaiso. CEP 25685.120, Petrópolis, Rio de Janeiro, Brasil
1 Professor Titular e Chefe do Departamento de Radiologia da Universidade Federal Fluminense (UFF). Coordenador Adjunto do Curso de Pós-Graduação em Radiologia da Universidade Federal do Rio de Janeiro (UFRJ) / Full Professor, Head, Department of Radiology of the University Fluminense (UFF). Associate Coordinator, Post-Graduate Course in Radiology, University of Rio de Janeiro (UFRJ).
2 Médica Pós-Graduanda do Departamento de Radiologia da UFF / Post-Graduate Doctor, Department of Radiology, UFF.
3 Professor Adjunto de Radiologia da Universidade Federal do Paraná, Curitiba, Brasil / Associate Professor of Radiology, University of Paraná, Brazil.
4 Doutoranda em Radiologia da UFRJ / PhD in Radiology, UFRJ.
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CEP 25685.120, Petrópolis, Rio de Janeiro, Brasil" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Leptospirosis of the lung presenting with crazy-paving pattern: Correlation between the high-resolution CT and pathological findings" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-12-27" "fechaAceptado" => "2008-07-24" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570078" "palabras" => array:4 [ 0 => "Leptospirose" 1 => "hemorragia pulmonar" 2 => "padrão de <span class="elsevierStyleItalic">crazy-paving</span>" 3 => "tomografia computadorizada de alta resolução" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570079" "palabras" => array:4 [ 0 => "Leptospirosis" 1 => "pulmonary haemorrhage" 2 => "crazy-paving pattern" 3 => "high resolution CT" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam os aspectos na tomografia computadorizada de alta resolução de um doente com hemorragia pulmonar difusa por leptospirose. O achado predominante consistiu de opacidades em vidro despolido difusas, com espessamento de septos interlobulares sobrepostos, resultando no padrão de <span class="elsevierStyleItalic">crazy-paving.</span> O doente morreu, e na necrópsia foi observada extensa hemorragia alveolar, com sangue infiltrando os septos interlobulares. É realçada a correlação entre os achados anatomopatológicos e na tomografia computadorizada de alta resolução.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (6): 887-891</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">The authors present the high-resolution CT findings of a patient with diffuse pulmonary hemorrhage due to leptospirosis. The main finding consisted of extensive ground-glass opacities superimposed on mild interlobular septal thickening, resulting in the appearance termed “crazy-paving”. The patient died and the necropsy showed extensive haemorrhage filling the airspace and blood infiltrating the interlobular septa. The correlation between the high-resolution CT and pathological findings is emphasised.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (6): 887-891</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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| 2022 January | 37 | 51 | 88 |
| 2021 December | 36 | 44 | 80 |
| 2021 November | 37 | 33 | 70 |
| 2021 October | 35 | 53 | 88 |
| 2021 September | 23 | 27 | 50 |
| 2021 August | 30 | 23 | 53 |
| 2021 July | 34 | 36 | 70 |
| 2021 June | 26 | 33 | 59 |
| 2021 May | 33 | 40 | 73 |
| 2021 April | 51 | 41 | 92 |
| 2021 March | 58 | 17 | 75 |
| 2021 February | 42 | 31 | 73 |
| 2021 January | 24 | 14 | 38 |
| 2020 December | 32 | 16 | 48 |
| 2020 November | 36 | 21 | 57 |
| 2020 October | 40 | 19 | 59 |
| 2020 September | 61 | 29 | 90 |
| 2020 August | 62 | 21 | 83 |
| 2020 July | 79 | 20 | 99 |
| 2020 June | 58 | 31 | 89 |
| 2020 May | 75 | 18 | 93 |
| 2020 April | 81 | 42 | 123 |
| 2020 March | 53 | 23 | 76 |
| 2020 February | 61 | 22 | 83 |
| 2020 January | 59 | 28 | 87 |
| 2019 December | 60 | 21 | 81 |
| 2019 November | 80 | 32 | 112 |
| 2019 October | 48 | 21 | 69 |
| 2019 September | 61 | 37 | 98 |
| 2019 August | 112 | 32 | 144 |
| 2019 July | 94 | 22 | 116 |
| 2019 June | 102 | 36 | 138 |
| 2019 May | 97 | 53 | 150 |
| 2019 April | 100 | 37 | 137 |
| 2019 March | 106 | 30 | 136 |
| 2019 February | 88 | 31 | 119 |
| 2019 January | 95 | 27 | 122 |
| 2018 December | 93 | 12 | 105 |
| 2018 November | 31 | 18 | 49 |
| 2018 October | 19 | 8 | 27 |
| 2018 September | 18 | 8 | 26 |
| 2018 August | 54 | 19 | 73 |
| 2018 July | 42 | 23 | 65 |
| 2018 June | 46 | 14 | 60 |
| 2018 May | 62 | 23 | 85 |
| 2018 April | 75 | 27 | 102 |
| 2018 March | 51 | 36 | 87 |
| 2018 February | 47 | 12 | 59 |
| 2018 January | 53 | 13 | 66 |
| 2017 December | 57 | 13 | 70 |
| 2017 November | 42 | 21 | 63 |
| 2017 October | 31 | 15 | 46 |
| 2017 September | 34 | 20 | 54 |
| 2017 August | 35 | 11 | 46 |
| 2017 July | 27 | 6 | 33 |
| 2017 June | 28 | 13 | 41 |
| 2017 May | 35 | 13 | 48 |
| 2017 April | 8 | 10 | 18 |
| 2017 March | 18 | 4 | 22 |
| 2017 February | 14 | 4 | 18 |
| 2017 January | 14 | 4 | 18 |
| 2016 December | 15 | 3 | 18 |
| 2016 November | 8 | 5 | 13 |
| 2016 October | 12 | 12 | 24 |
| 2016 September | 5 | 5 | 10 |
| 2016 August | 4 | 3 | 7 |
| 2016 July | 6 | 4 | 10 |
| 2016 May | 1 | 5 | 6 |
| 2016 April | 3 | 15 | 18 |
| 2016 March | 1 | 17 | 18 |
| 2016 February | 6 | 9 | 15 |
| 2016 January | 11 | 10 | 21 |
| 2015 December | 6 | 5 | 11 |
| 2015 November | 3 | 2 | 5 |
| 2015 October | 2 | 2 | 4 |
Show all
