Alveolar hemorrhage due to Leptospirosis in times of Covid 19. About a Case.
Hemorragia alveolar por leptospirosis en tiempos de COVID-19. Acerca de un caso
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Leptospirosis is a prevalent and generalized zoonotic disease, for which there are no reliable figures of world incidence. It is an underreported disease that can generate a significant number of morbidity and mortality. The incidence of pulmonary involvement in leptospirosis varies from 20% to 70%, and alveolar hemorrhage that presents with dyspnea and hemoptysis is the main pulmonary manifestation in leptospirosis, generating mortality that can be greater than 50% if it is not detected and drive on time. We present the case of a 30-year-old patient with respiratory symptoms and fever that suggested Covid 19 due to radiological images and due to the pandemic, with a history of being a bottle collector, who due to the sudden drop in hemoglobin without a precise site of bleeding was thought to be alveolar hemorrhage, serology was performed for leptospira, which was positive, and he could be treated in a timely manner. In conclusion, a good questioning about daily activities together with good clinical judgment and interpretation of laboratory tests should make us suspect alveolar hemorrhage due to leptospirosis.
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