Table 1

Review of the case report: leptospirosis with pulmonary haemorrhage

Arokianathan et al 30 Assimakopoulos et al 31 Kahn et al 32 Liao et al 33 Ludwig et al 34 Cantwell et al 35 Umei et al 36 Jukkkaphop C et al (this case)
Age (year)3028578058N/A3234395039
GenderMaleMaleMaleMaleMaleMaleMaleMaleMaleMaleMale
ComorbidityNoneNoneNoneHT, AF, T2DM, HFUlcerative colitis, T2DMN/ANoneNoneObesityNoneNone
Presentation4 days of myalgia, jaundice2 days of fever, headache, dyspnoea and haemoptysis10 days of fever, haemoptysis, jaundice, AKI2 days of fever, myalgia, haemoptysis and AKI,4 days of fever, myalgias, non-bloody diarrhoea and AKIFlu-like symptom2 days of fever, myalgia and jaundice7 days of fatigue and vomiting, and presentation with dyspnoea, jaundice and AKIFever, myalgia, headache, progressive dyspnoea and AKI2 days of fever, myalgia and jaundice5 days of fever, myalgia; 6 hours of dyspnoea and haemoptysis
HaemoptysisYesYesYesYesYesYesYesYesYesYesYes
PaO2/FiO2ratioN/A21020090150N/A163N/A1317074.2
TreatmentMV
MARS
MVMV
RRT
MV
RRT
MV
RRT
MV
RRT
MVMV
Plasmapheresis
RRT
MVMV
RRT
MV Plasmapheresis
ECMO
Initiate day
VV-ECMO 183 hoursNot doneNot doneNot doneNot doneVA-ECMO 60 hoursVV-ECMO, 1 day
and total of
6 days
VV-ECMO, 1 dayVV-ECMO, 2 days after admission, double membrane oxygenator, in parallelVV-ECMO, 3 days after admission,
(day 5 after symptom)
VV-ECMO,
12 hours
and total of 8 days
OutcomeImprovedImprovedImprovedImprovedDead (multiorgan failure)ImprovedImprovedDead, 29 hours after initial presentation (multiorgan failure)ImprovedImprovedImproved
  • AF, atrial fibrillation; AKI, acute kidney injury; ECMO, extracorporeal membrane oxygenation; HF, heart failure; HT, hypertension; MARS, molecular adsorbent recirculating system; MV, mechanical ventilator;N/A, not available; RRT, renal replacement therapy; T2DM, type 2 diabetes mellitus; VA-ECMO, veno-arterial extracorporeal membrane oxygenation.