Severe Pulmonary Involvement in Leptospirosis Alternate antibiotics and systemic steroids
Journal Title: Sultan Qaboos University Medical Journal - Year 2013, Vol 13, Issue 2
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.
Authors and Affiliations
Jayakrishnan B| Department of Medicine, Sultan Qaboos University Hospital, Fatma Ben Abid| Department of Medicine, Sultan Qaboos University Hospital, Abdullah Balkhair| Department of Medicine, Sultan Qaboos University Hospital, Juma K. Alkaabi| Department of Medicine, Sultan Qaboos University Hospital, Omar A. Al-Rawas| College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Jojy George| Department of Medicine, Sultan Qaboos University Hospital, Khalfan Al-Zeedy| Department of Medicine, Sultan Qaboos University Hospital
Unusual Indolent Course of a Chronic Active Epstein-Barr Virus-Associated Natural Killer Cell Lymphoproliferative Disorder
Natural killer (NK) cell lymphoproliferative disorders are uncommon and the Epstein-Barr virus (EBV) plays an important aetiological role in their pathogenesis. We report a 20-year-old male with a chronic active EBV in...
A Massive Tuberculosis Abscess at the Erector Spinae Muscles and Subcutaneous Tissues in a Young Man
Tuberculosis (TB) is a chronic granulomatous infection which can present in an atypical form. Isolated muscle involvement is very rare. We report a 25-year-old man who presented with a massive cystic swelling on the ri...
Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm Report of two cases
A ruptured sinus of Valsalva aneurysm (RSVA) is a rare cardiac anomaly. Traditionally, RSVAs were repaired surgically; however, percutaneous transcatheter closure is the current treatment of choice. We report two cases...
Laparoscopic Surgery Recording as an Adjunct to Conventional Modalities of Teaching Gross Anatomy
Objectives: In order to increase their effectiveness, methods of teaching morphological sciences need to be revised to incorporate the recent technological advances made in the feld of medicine. Teaching human structu...
Mycoplasma pneumoniae Pneumonia with Worsening Pleural Effusion Despite Treatment with Appropriate Antimicrobials Case report
Mycoplasma pneumoniae is a common cause of community-acquired pneumonia. As M. pneumoniae pneumonia is usually a mild and self-limiting disease, complications such as pleural effusion occur only rarely. We report a 22-y...