Case Report: Refractory Acute Respiratory Distress Syndrome Supported by Extracorporeal Membrane Oxygenation due to Coinfection with Chlamydia pneumoniae and Leptospirosis in Reunion Island

Arnaud Lecadieu Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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Simon Veyret Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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Romain Persichini Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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Lucie Duarte Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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Margot Caron Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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Charles Vidal Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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Elora Bordet Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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Nicolas Traversier Service de Microbiologie, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France

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Jérôme Allyn Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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Nicolas Allou Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France;

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ABSTRACT

Infection with Leptospira spp. is common in Réunion, a tropical island in the Indian Ocean. However, respiratory coinfections between strains of Leptospira spp. and other microorganisms are rarely described. Here, we describe the first reported case of coinfection between Leptospira spp. and Chlamydia pneumoniae, responsible for refractory acute respiratory distress syndrome requiring extracorporeal membrane oxygenation with a favorable outcome. In a case of leptospirosis with severe respiratory illness, testing for respiratory coinfection, especially with atypical pathogens, could explain the seriousness of the clinical condition and lead to specific treatment.

Author Notes

Address correspondence to Nicolas Allou, Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Allée des Topazes, Saint Denis 97400, France. E-mail: nicolas.allou@hotmail.fr

Financial support: This work was internally funded.

Authors’ addresses: Arnaud Lecadieu, Simon Veyret, Romain Persichini, Lucie Duarte, Margot Caron, Charles Vidal, Elora Bordet, Jérôme Allyn, and Nicolas Allou, Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France, E-mails: arnaud.lecadieu@gmail.com, veyretsimon@outlook.fr, romain.persichini@chu-reunion.fr, duartelucie3@gmail.com, margot.caron@chu-reunion.fr, charles.vidal@chu-reunion.fr, elora.bordet@chu-reunion.f, and jerome.allyn@chu-reunion.fr. Nicolas Traversier, Service de Microbiologie, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France, E-mails: nicolas.traversier@chu-reunion.fr.

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