Background: Leptospirosis is an infectious disease caused by pathogenic Leptospira spp., which could result in severe illnesses. Indirect contact with these pathogens is more common. Individuals could contract this disease through contact with contaminated water or during floods. In this case, we present the details of a 40-year-old male pig farmer who suffered from severe pulmonary hemorrhagic leptospirosis and multiple organ failure. The diagnosis of leptospirosis was confirmed through metagenomics next-generation sequencing (mNGS) while the patient received extracorporeal membrane oxygenation (ECMO) support, and antibiotic treatment was adjusted accordingly. The patient underwent comprehensive treatment and rehabilitation in the intensive care unit. Conclusion: This case illustrates the importance of early diagnosis and treatment of leptospirosis. While obtaining the epidemiological history, second-generation metagenomics sequencing was utilized to confirm the etiology. The prompt initiation of ECMO therapy provided a crucial window of opportunity for addressing the underlying cause. This case report offers valuable insights for diagnosing patients with similar symptoms.

While previous studies have investigated the pathophysiology, epidemiology, and risk factors of invasive pulmonary aspergillosis (IPA), research trends and hotspots on this topic remain relatively unexplored. This study aims to develop a visual knowledge map using bibliometric analysis to identify research hotspots and predict future trends in IPA research. A systematic search was conducted on the Web of Science Core Collection for articles published between January 1, 2000, and March 31, 2024. Tools such as CiteSpace and VOSviewer were used to analyze annual publication trends, contributions by countries, institutions, journals, authors, and references, as well as key research areas to identify current hotspots and future directions. A total of 4058 articles were included, representing contributions from 3409 institutions across 749 journals and 214 countries or regions. The United States published the most articles (1312) and emerged as the most influential country in this field. Medical Mycology published the highest number of articles (206), while Clinical Infectious Diseases was the most cited journal (27,450 citations). Keyword clustering revealed 4 major themes: diagnostics (e.g., galactomannan assays), clinical management (e.g., antifungal therapy), at-risk populations (e.g., transplant recipients), and emerging trends (e.g., COVID-19-associated IPA). Temporal analysis identified 3 distinct research phases: early phase (2000–2007): focus on bone marrow transplantation and diagnostic methods. mid-phase (2008–2018): emphasis on clinical guidelines and epidemiological studies. Recent phase (2019–2024): shift toward COVID-19-associated IPA and its impacts. By applying bibliometric methods to analyze IPA research, this study identifies key authors, countries, institutions, and journals in terms of collaboration and influence. It enhances the understanding of research hotspots in the field and provides insights into potential future collaborations and research directions.