Chest radiograph abnormalities in patients hospitalized with leptospirosis in the city of Salvador, Bahia, Brazil



Título del documento: Chest radiograph abnormalities in patients hospitalized with leptospirosis in the city of Salvador, Bahia, Brazil
Revista: The brazilian journal of infectious diseases
Base de datos: PERIÓDICA
Número de sistema: 000290676
ISSN: 1413-8670
Autores: 1
2
3
4

5
6
Instituciones: 1Universidade Federal da Bahia, Unidad de Epidemiologia Clinica, Salvador, Bahia. Brasil
2Hospital Especializado Octavio Mangabeira, Salvador, Bahia. Brasil
3Escola Bahiana de Medicina e Saude Publica, Departamento de Medicina Interna, Salvador, Bahia. Brasil
4Hospital Couto Maia, Salvador, Bahia. Brasil
5Hospital Sao Rafael, Salvador, Bahia. Brasil
6Universidade Federal da Bahia, Faculdade de Medicina, Salvador, Bahia. Brasil
Año:
Periodo: Abr
Volumen: 5
Número: 2
Paginación: 73-77
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental
Resumen en inglés This study was designed to estimate the prevalence of pulmonary radiograph abnormalities and describe the distribution of the patterns of radiographic alterations among patients hospitalized with leptospirosis. Chest radiographs of 139 patients hospitalized with leptospirosis in Couto Maia Hospital, in Salvador, Bahia, Brazil, between July, 1997, and July, 1999, were analyzed. The radiographs were requested soon after hospital admission, independent of the clinical manifestations of the patients. Only the first radiograph was considered. Pulmonary radiograph alterations were recorded in 35/139 patients (25.2%); 95% mid-point confidence interval = 18.5% to 32.9%. Among the patients with radiograph alterations, alveolar infiltrate was seen in 26/35 (74.3%). The lesions were bilateral in 54.3% and located in the inferior lobes in 45.5%. Pleural effusion, represented by blunting of the costo-phrenic angle, was detected in 8.6% of the patients. The pattern of the pulmonary alterations, predominantly bilateral alveolar infiltrates, is consistent with the evidence that the basic pulmonary alteration in leptospirosis is a generalized capillaritis
Disciplinas: Medicina
Palabras clave: Diagnóstico,
Hospitales,
Microbiología,
Neumología,
Leptospirosis,
Radiografía
Keyword: Medicine,
Diagnosis,
Hospitals,
Microbiology,
Pneumology,
Leptospirosis,
Radiography
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