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

摘要

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.