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Successful Treatment With Continuous Veno-Venous Hemofiltration (CVVH) of Acute Respiratory Distress Syndrome (ARDS) Caused by Jarisch-Herxheimer Reaction in a Patient With Severe Leptospirosis

Chowdhury, Farhana A. MD; Khillan, Rajnish MD; Htun, Wah Wah MD; Carey, Jeanne MD; Amdo, Tshering MD

Infectious Diseases in Clinical Practice: March 2014 - Volume 22 - Issue 2 - p 118–119
doi: 10.1097/IPC.0b013e31828d7008
Case Reports

We report a case of severe leptospirosis acquired in an urban setting at a Halal poultry farm. After the initiation of antibiotic treatment, the patient developed a Jarisch-Herxheimer reaction and subsequent acute respiratory distress syndrome. He improved dramatically after receiving continuous veno-venous hemofiltration.

From the Lutheran Medical Center, Brooklyn, NY.

Correspondence to: Jeanne Carey, MD, Lutheran Medical Center, 150 55th St, Brooklyn, NY 11220. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2014 by Lippincott Williams & Wilkins.