Abstract
Hemoptysis Associated with Leptospirosis Acquired in Hawaii, USA
Highlights
To the Editor: Severe pulmonary hemorrhagic syndrome (SPHS) is a serious complication of Leptospira infection, a globally widespread bacterial zoonosis that is increasing in incidence in tropical and subtropical regions
Leptospirosis is endemic to Hawaii; SPHS is uncommonly reported [7]
Given an elevated suspicion for leptospirosis, ceftriaxone and azithromycin were continued through hospital day 7
Summary
Brucella bacteraemia: clinical and laboratory observations in 160 patients. To the Editor: Severe pulmonary hemorrhagic syndrome (SPHS) is a serious complication of Leptospira infection, a globally widespread bacterial zoonosis that is increasing in incidence in tropical and subtropical regions. Leptospirosis is an appreciable attributable cause of travel-related infections (typically associated with waterborne activities), and the incidence of travel-related leptospirosis is proportionally higher than that for endemic leptospirosis. Clinical features of leptospirosis range from asymptomatic infections and undifferentiated febrile syndromes to multiorgan dysfunction and death.
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