Occasionally, if inflammation erodes into a blood vessel, there can even be hemoptysis, or coughing up of blood.

有时炎症会侵犯血，会导咯血，即咳嗽时有血排出。

When the lungs are involved, that can cause shortness of breath, chest pain, cough, and hemoptysis, which means coughing up blood.

当肺部被侵染时，会导气短、胸痛、咳嗽和咯血（咳嗽出血）。

During the second phase, also called Weil disease, there may be signs of end-organ damage like jaundice, a cough, dyspnea and hemoptysis, reduced urine output and fluid retention, depending on the affected organs.

在第二段，或者韦尔（Weil）段，人可能出现器官损伤的症状，比如黄疸、咳嗽、呼吸困难、咳血、尿量减少、液体潴留等，所出现的症状取决于受累的器官。