Severe community-acquired pneumonia caused by Leptospira interrogans: A case report and review of literature

Figure 1 Bronchoscopy findings. A-C: Bronchoscopy images of main trachea (A), left main bronchus (B) and opening of the right basal segmental bronchus (C) showed that the bronchi were patent, and sporadic mucosal petechiae and bloody sputum were seen in the bilateral bronchi.

Figure 2 Changes in laboratory parameters after admission. In the first 5 d of antiviral treatment after admission: inflammatory values were elevated; platelets and hemoglobin were decreased consistent with hemorrhagic complications; and elevated brain natriuretic peptide indicated the existence of myocardial impairment. After 5 d, penicillin was administered and the above vital parameters improved. WBC: White blood cell; CRP: C-reactive protein; PCT: Procalcitonin; PLT: Platelets; Hb: Hemoglobin; BNP: Brain natriuretic peptide.

Figure 3 Computed tomography findings. A-D: Computed tomography images were respectively taken on admission (A), 1 wk after admission (B), 1 wk before discharge (C), and 3 wk after discharge (D). Gradual resolution of inflammation in the bilateral lungs was seen during the treatment course.