Study of bronchoalveolar lavage  in leptospirosis patients with  pulmonary  involvement

Carvalho, Jorge Eduardo Manhães de; Moraes, Isabela Nascimento; Ferreira, Angela Santos; Gomes, Regina Lúcia Caetano; Dalston, Marcos Olivier; Silva, João José Pereira da

100 and/or hemorrhagic fluid. Culture and direct tests for leptospirosis were performed in BAL. Diagnosis of disease was confirmed by microscopy serum agglutination. Results: The aspect of the bronchoscopy was normal in five patients, showed blood in the bronchial tree in one case and inflammatory manifestations in another. The BAL aspect was hemorrhagic for all patients portraying alveolar hemorrhage. Culture and direct tests were negative for Leptospiras in the BAL. Conclusions: Leptospirosis must be taken into account in the differential diagnosis of alveolar hemorrhage. The BAL was confirmed as an efficient method for detection of alveolar hemorrhage in leptospirosis, to recommend immediate therapy for the purpose of preventing its evolution to massive hemoptysis and respiratory failure." />

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Study of bronchoalveolar lavage in leptospirosis patients with pulmonary involvement

Estudo do lavado broncoalveolar em pacientes com comprometimento pulmonar na leptospirose

Jorge Eduardo Manhães de Carvalho, Isabela Nascimento Moraes, Angela Santos Ferreira, Regina Lúcia Caetano Gomes, Marcos Olivier Dalston, João José Pereira da Silva