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dc.contributor.authorVieira, Silvia Regina Riospt_BR
dc.contributor.authorBrauner, Janete Sallespt_BR
dc.date.accessioned2010-04-16T09:10:39Zpt_BR
dc.date.issued2002pt_BR
dc.identifier.issn1413-8670pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/19555pt_BR
dc.description.abstractLeptospirosis may have important complications, such as acute respiratory failure (ARF) associated or not with other organic dysfunction, with a high mortality rate. We report the characteristics and evolution of severe leptospirosis associated with ARF. During 10 years, 35 consecutive adult patients admitted in two general Intensive Care Units with severe leptospirosis and ARF, were followed up. Clinical characteristics, associated organic dysfunction and mortality were analyzed. Survivors were compared with non-survivors. The most frequent clinical manifestations were dyspnea, fever, myalgia, jaundice, hemoptysis and coughing. All patients presented ARF, needing mechanical ventilation, as well as other organic dysfunctions. The mortality rate was 51%. Non-survivors were older and had a higher incidence of organic dysfunction, mainly renal, cardiovascular and neurological failures, as well as a higher level of acidosis. In conclusion, leptospirosis should be considered as a cause of severe ARF and other associated organic dysfunctions.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofThe Brazilian journal of infectious diseases. Vol. 6, n. 3 (jun. 2002), p. 135-139pt_BR
dc.rightsOpen Accessen
dc.subjectLeptospirosept_BR
dc.subjectLeptospirosisen
dc.subjectAcute respiratory failureen
dc.subjectInsuficiência respiratória agudapt_BR
dc.subjectPrognósticopt_BR
dc.titleLeptospirosis as a cause of acute respiratory failure : clinical features and outcome in 35 critical care patientspt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000336434pt_BR
dc.type.originNacionalpt_BR


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