Abstract：
:Leptospirosis is a re-emerging spirochetal zoonosis with a worldwide distribution affecting both animals and humans. The clinical syndromes may vary from a subclinical infection to a severe illness. Although it may potentially have a fulminant and fatal course, leptospirosis usually remains as an underdiagnosed cause of multiorgan failure. In this study, we report a patient with leptospirosis who presented with a fulminant course of diffuse alveolar haemorrhage and hepatorenal failure. His clinical condition deteriorated, despite appropriate antibiotic therapy and haemodialysis. However, he showed prompt clinical improvement when corticosteroids and plasma exchange were instituted in addition to the original therapy. We conclude that leptospirosis should be considered in any case presenting with pulmonary haemorrhage and hepatorenal failure. Plasma exchange and corticosteroids may be a choice of treatment in selected patients unresponsive to conventional therapy. Potential benefits of plasma exchange and corticosteroids may be based on a toxin- and/or cytokine-mediated pathogenesis of the disease.
journal_name
Int J Clin Practjournal_title
International journal of clinical practiceauthors
Dursun B,Bostan F,Artac M,Varan HI,Suleymanlar Gdoi
10.1111/j.1742-1241.2005.00638.xsubject
Has Abstractpub_date
2007-01-01 00:00:00pages
164-7issue
1eissn
1368-5031issn
1742-1241pii
IJCP638journal_volume
61pub_type
杂志文章,评审abstract：OBJECTIVE:While physical activity (PA) is known to have positive effects on psychological and physical health, little is understood about the association between non-compensatory PA (ie, not compulsive or intended to control weight or shape) and psychopathology among individuals with eating-disorder features. The prese...
journal_title：International journal of clinical practice
pub_type： 杂志文章
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更新日期：2019-11-01 00:00:00
abstract：:Using the head-up tilt test (HUTT) we evaluated 986 consecutive patients affected by unexplained syncope. In 266 patients the test induced bradycardia and/or hypotension resulting in syncope or presyncope, thus allowing a diagnosis of neurally mediated syncope. In three other patients (0.3% of the entire population an...
journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
pub_type： 杂志文章
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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更新日期：2002-05-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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doi：
更新日期：2002-09-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章
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更新日期：2014-10-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
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journal_title：International journal of clinical practice
pub_type： 杂志文章
doi：10.1111/j.1742-1241.2005.00650.x
更新日期：2006-02-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
doi：10.1111/j.1742-1241.2007.01299.x
更新日期：2007-03-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
doi：
更新日期：2000-10-01 00:00:00
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journal_title：International journal of clinical practice
pub_type： 杂志文章,评审
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更新日期：2005-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2021-02-01 00:00:00
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journal_title：International journal of clinical practice
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doi：
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journal_title：International journal of clinical practice
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doi：10.1111/j.1742-1241.2010.02337.x
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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journal_title：International journal of clinical practice
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