대한흉부영상의학회 Weekly Chest Cases

Courtesy of Byung Se Choi, M.D., Joon Beom Seo, M.D. / Asan Medical Center, Seoul, Korea
Age/Sex 59 / M
Chief ComplaintFerver, abdomina pain, hematuria, jaundice for 5 days. Hemoptysis one day ago. Farmer

Diagnosis: Leptospirosis
Radiologic Findings: Chest radiograph shows diffuse areas of increased opacity in both lungs. Thin-section CT scnas showed areas ground glass opacity, consolidation in both lungs with lower lung and posterior lung predominancy. Follow up chest radiograph obtained 5 days later showed disappearance of parenchymal lesion.
Diagnosis of leptospirosis was made based on the positive result of serologic test (Leptospiral Ab (+) / Hantavirus Ab(-) / Rickettsia Ab (-)), and improvement after doxycycline treatment.
Brief Review: Please refer to the discussion of case 151, another case of leptospirosis. In addition, do not miss the comment from Kyung Soo Lee about the differential diagnoses.
References
Keywords: Lung, Infection,

대한흉부영상의학회 Korean Society of Thoracic Radiology