| High-resolution Computed Tomography Findings in a Case of Severe Leptospira Infection (Weil Disease) Complicated With Jarisch-Herxheimer Reaction. | |
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MedLine Citation:
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PMID: 22071677 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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In this report, we describe a case of Weil disease. Chest x-ray and computed tomography (CT) findings showed temporary deterioration 1 day after the initiation of antibiotic treatment, and high-resolution CT findings with the patient's physical findings made us suspect pulmonary alveolar hemorrhage (PAH). We believed that the PAH had been induced by Weil disease and subsequently caused Jarisch-Herxheimer reaction. We confirmed the patient's contact history with mice, and symptoms improved immediately after starting appropriate treatments. Leptospirosis is a relatively rare cause of PAH. Therefore, the possibility of this disease should be included in the differential diagnosis, especially when high-resolution CT findings indicate PAH, and the imaging findings deteriorate rapidly after antibiotic therapy. |
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Authors:
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Tsuyoshi Hashimoto; Soichi Akata; Jinho Park; Yoshimi Harada; Yoji Hirayama; Junji Otaki; Koichi Tokuuye |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-8 |
Journal Detail:
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Title: Journal of thoracic imaging Volume: - ISSN: 1536-0237 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8606160 Medline TA: J Thorac Imaging Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Departments of *Radiology and †General Medicine and Primary Care, Tokyo Medical University, Nishishinjuku, Shinjuku-ku, Tokyo, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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