Weil's disease: an unusually fulminant presentation characterized by pulmonary hemorrhage and shock

A. Spichler, M Moock, E.G. Chapola, J. Vinetz
2005 Brazilian Journal of Infectious Diseases  
A case of fulminant leptospirosis is presented, manifesting as rapid progression from acute undifferentiated febrile illness to refractory shock, jaundice, renal failure and massive pulmonary hemorrhage. The patient received aggressive intensive care unit support including prolonged intubation and ventilation. This case emphasizes that acute leptospirosis may well not be characterized by the classic scenario of a biphasic illness, but rather by a fulminant, monophasic illness.
doi:10.1590/s1413-86702005000400011 pmid:16270127 fatcat:u5jhxp5tfjbddkpuv4p5ryndxm