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Vol. 13. Issue 6.
Pages 827-839 (November - December 2007)
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Vol. 13. Issue 6.
Pages 827-839 (November - December 2007)
Artigo de Revisão / Revision Article
Open Access
Leptospirose pulmonar
Pulmonary leptospirosis
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João Cláudio Barroso Pereira1, Amorita Grijó2, Maria Cristina B. Mackay3, Beatriz Guerra Vitral4
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
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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.

Rev Port Pneumol 2007; XIII (6): 827-839

Palavras-chave:
Leptospirose
manifestações respiratórias
hemorragia alveolar difusa e síndroma da dificuldade respiratória do adulto
Abstracts

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.

Rev Port Pneumol 2007; XIII (6): 827-839

Key-words:
Leptospirosis
respiratory manifestations
diffuse alveolar hemorrhage and adult respiratory distress syndrome
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