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Severe Pulmonary Involvement in Leptospirosis; Alternate antibiotics and systemic steroids

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Author(s): Jayakrishnan B | Fatma Ben Abid | Abdullah Balkhair | Juma K. Alkaabi | Omar A. Al-Rawas | Jojy George | Khalfan Al-Zeedy

Journal: Sultan Qaboos University Medical Journal : SQUMJ
ISSN 2075-051X

Volume: 13;
Issue: 2;
Start page: 318;
Date: 2013;
Original page

Keywords: Leptospirosis | Human ARDS | Steroids | Case report | Oman

ABSTRACT
Pulmonary complications in leptospirosis, though common, are often unrecognized in a non-endemic area. We report here a patient with leptospirosis and severe pulmonary involvement who was treated with meropenem (1 g every 8 hours), moxifloxacin (400 mg once daily), and high doses of corticosteroids. Systemic steroids were continued for 3 months because of persistent pulmonary lesions.

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