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Critical Care Research and Practice
Volume 2010, Article ID 408365, 3 pages
Case Report

Leptospirosis: An Unusual Cause of ARDS

1Medical-Surgical Intensive Care, Dupuytren University Hospital, Limoges, France
2Department of Pathology, Dupuytren University Hospital, Limoges, France
3Department of Thoracic Surgery, Dupuytren University Hospital, Limoges, France
4Department of Infectious Diseases, Dupuytren University Hospital, Limoges, France

Received 1 September 2009; Revised 1 February 2010; Accepted 12 March 2010

Academic Editor: Daniel De Backer

Copyright © 2010 Marc Clavel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Severe leptospirosis usually associates shock, jaundice, renal failure, and thrombocytopenia. Massive hemoptysis due to diffuse alveolar haemorrhage may rarely occur leading to an acute respiratory failure and multiple organ failure. We present the case of an acute respiratory distress syndrome caused by a severe leptospirosis. The severity of the respiratory failure contrasted with the absence of significant liver or renal dysfunction. Bedside open lung biopsy was only consistent with a postinfectious BOOP. The diagnosis was retrospective when the niece of the patient presented with similar inaugural symptoms ten days later after being scratched by a wild rat which was considered by our patient as a pet.