High resolution CT of Weil's disease

Yiu, Mwc; Ooi, G. C.; Yuen, Kwok‐Yung; Tsang, Kenneth W.; Lam, W K; Chan, F. L.

doi:10.1016/s0140-6736(03)13862-7

Cited by 7 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In people, HRCT findings of diffuse pulmonary haemorrhages appear similar, regardless of their underlying cause (Webb and others 2008): within days of an acute episode, ground‐glass opacity develops as hemosiderin and hemosiderin‐laden macrophages begin to accumulate in the interstitium (Seely and others 1997). GGO is the most commonly reported CT feature of human LPHS (Yiu and others 2003, Marchiori and others 2011). In the present study, GGO was present in 9/10 patients on the initial scan, and in 9/9 three days later.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Serial CT features of pulmonary leptospirosis in 10 dogs

et al. 2014

View full text Add to dashboard Cite

Leptospirosis pulmonary haemorrhage syndrome (LPHS) is a frequent manifestation of Leptospira infection in dogs and is associated with a high morbidity and mortality. Three helical 16-slice thoracic CT scans were performed in 10 dogs naturally infected with Leptospira, within 24 hours of admission, and three and seven days later. Patients were sedated and scanned without breathhold, with a protocol adapted for rapid scanning. One dog died of respiratory failure on the morning following the first scan. On the initial scan, imaging features of LPHS included ground-glass nodules (10/10), peribronchovascular interstitial thickening (10/10), diffuse or patchy ground-glass opacity (9/10), solid nodules (8/10) and consolidation (7/10). Temporary bronchiolar dilation was observed in all dogs in association with peribronchovascular interstitial thickening, which had completely resolved at day 7. Nodules were with few exceptions assigned to the centrilobular region. Regression of lesion severity was observed after each subsequent scan. Consolidation and solid nodules changed over time into lesions of ground-glass attenuation. Pleural effusion (3/10) and mediastinal effusion (2/10) were mild and transient. Lesion severity appeared unassociated with survival to discharge.

show abstract

Section: Discussionmentioning

confidence: 98%

“…GGO is the most commonly reported CT feature of human LPHS (Yiu and others 2003, Marchiori and others 2011). In the present study, GGO was present in 9/10 patients on the initial scan, and in 9/9 three days later.…”

Section: Discussionmentioning

confidence: 99%

Serial CT features of pulmonary leptospirosis in 10 dogs

et al. 2014

View full text Add to dashboard Cite

show abstract

“…The clinical presentation of leptospirosis varies from subclinical infection to undifferentiated febrile illness to jaundice, renal failure, and pulmonary hemorrhage (3, 4). It can also present with abdominal pain and hepatomegaly mimicking metastatic colon cancer or acute cholecystitis (5–7).…”

Section: Discussionmentioning

confidence: 99%

Case of fulminant leptospirosis in a renal transplant patient

Gerasymchuk

Swami

Carpenter

et al. 2009

Transplant Infectious Dis

View full text Add to dashboard Cite

We present a case of fulminant leptospirosis that was acquired in the suburban area by a 48-year-old male renal transplant recipient. He developed acute renal and hepatic failure with profound jaundice. Spirochetes were identified on liver biopsy. Weil's disease was suspected, and the diagnosis was further supported by a positive serum Leptospira interrogans icterohaemorrhagiae antibody titer. Unfortunately, he suffered from recurrent lower gastrointestinal bleeding, had a prolonged hospital course, and eventually succumbed to overwhelming sepsis. This case is the third report to our knowledge of leptospirosis in a renal transplant recipient in the English literature.

show abstract