Abstract

Pulmonary leptospirosis is rare and causes alveolar hemorrhages that may be complicated by acute respiratory distress syndrome (ARDS). We report a case of leptospirosis revealed by severe febrile pneumonia complicated by acute respiratory distress. Its diagnosis is challenging when pulmonary involvement predominates, but it often reflects multivisceral involvement that may be occult and must be investigated to avoid diagnostic delays potentially endangering the patient’s life.

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