Document Detail


Pulmonary radiographic findings in 118 leptospirosis patients.
MedLine Citation:
PMID:  16438153     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We retrospectively reviewed the medical records and chest radiographs of 118 patients who presented during January 1998 to October 2002 at Songklanagarin Hospital in Hat Yai, Songkhla Province, Thailand who had a high serum immunofluorescent assay titer for leptospirosis. Twenty-nine of 118 (24%) patients had abnormal chest films. Nearly all of these patients had respiratory symptoms and needed oxygen therapy (93% and 90%, respectively). Forty-eight of the 118 (40%) had respiratory symptoms, but only 27/48 (56%) had abnormal radiographs. Twenty-one of the 28 (75%) and 18/27 (67%) who had abnormal chest radiographs had coexisting impaired renal function or jaundice, respectively, whereas 21/69 (30%) of the patients who had impaired renal function and 18/55 (33%) of the patients with jaundice had abnormal radiographs. There were 6/27 (22%) patients who had abnormal chest radiographs without renal or liver impairment. The most common finding on the abnormal chest radiograph was bilateral diffuse air space disease, which resolved within 7 days. No permanent lung damage was seen. The patients who had an abnormal chest radiograph needed longer hospitalization, than those without an abnormal chest radiograph (average 12 days and 5 days, respectively).
Authors:
Wiwatana Tanomkiat; Pongpan Poonsawat
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Southeast Asian journal of tropical medicine and public health     Volume:  36     ISSN:  0125-1562     ISO Abbreviation:  Southeast Asian J. Trop. Med. Public Health     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2006-01-27     Completed Date:  2006-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0266303     Medline TA:  Southeast Asian J Trop Med Public Health     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  1247-51     Citation Subset:  IM    
Affiliation:
Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Tailand. twiwadha@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Humans
Leptospira / pathogenicity
Leptospirosis / diagnosis,  radiography*
Lung / radiography*
Male
Medical Audit
Middle Aged
Retrospective Studies
Thailand

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