Source:http://linkedlifedata.com/resource/pubmed/id/18155391
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2008-2-25
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pubmed:abstractText |
We report a case of severe leptospirosis complicated with a multiple organ failure syndrome. A 62-year-old patient presented a picture associating fever, asthenia and myalgias, particularly intense on the calves. The assessment showed acute renal failure, hyperbilirubinemia, severe rhabdomyolysis and thrombocytopenia. Although initial management associating amoxicilline and continuous veino-venous hemodiafiltration, evolution was unfavourable, with SDRA and increase of hyperbilirubinemia. Administration of a bolus of 500 mg of methylprednisolone, associated with intravenous immunoglobulin (0,4 g/kg per day during five days), led to a rapid clinical and biological improvement. Immunomodulation aspects during leptospirosis are discussed.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
1769-6623
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
172-6
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pubmed:meshHeading |
pubmed-meshheading:18155391-Adrenal Cortex Hormones,
pubmed-meshheading:18155391-Aged,
pubmed-meshheading:18155391-Aged, 80 and over,
pubmed-meshheading:18155391-Humans,
pubmed-meshheading:18155391-Immunoglobulins, Intravenous,
pubmed-meshheading:18155391-Immunologic Factors,
pubmed-meshheading:18155391-Leptospirosis,
pubmed-meshheading:18155391-Male,
pubmed-meshheading:18155391-Methylprednisolone,
pubmed-meshheading:18155391-Multiple Organ Failure,
pubmed-meshheading:18155391-Plasma Exchange,
pubmed-meshheading:18155391-Treatment Outcome
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pubmed:year |
2008
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pubmed:articleTitle |
[Immunomodulation in severe leptospirosis with multiple organ failure: plasma exchange, intravenous immunoglobulin or corticosteroids?].
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pubmed:affiliation |
Département d'anesthésie-réanimation, hôpital d'instruction des Armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France. meaudre@club-internet.fr
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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