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Revista Portuguesa de Pneumologia

Print version ISSN 0873-2159

Abstract

MARCHIORI, Edson; GASPARETTO, Taisa Davaus; ESCUISSATO, Dante L  and  ZANETTI, Gláucia. Leptospirosis of the lung presenting with crazy-paving pattern: Correlation between the high-resolution CT and pathological findings. Rev Port Pneumol [online]. 2008, vol.14, n.6, pp.887-891. ISSN 0873-2159.

The authors present the high-resolution CT findings of a patient with diffuse pulmonary hemorrhage due to leptospirosis. The main finding consisted of extensive ground-glass opacities super imposed on mild interlobular septal thickening, resulting in the appearance termed “crazy-paving”. The patient died and the necropsy showed extensive haemorrhage filling the airspace and blood infiltrating the interlobular septa. The correlation between the high-resolution CT and pathological findings is emphasised.

Keywords : Leptospirosis; pulmonary haemorrhage; crazy-paving pattern; high resolution CT.

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