The manifestations of leptospirosis

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  • Leptospirosis, manifestations of leptospirosis
  • How is the examination and treatment of leptospirosis



  • Leptospirosis, manifestations of leptospirosis

    Leptospirosis - an infectious disease caused by a type of bacteria
    Leptospira; It characterized by lesions of the liver, kidney, brain membranes. Leptospira - spiral single bacterium with curved ends; views presented
    more than 100 variants. Leptospirosis is widespread. The main reservoir of leptospirosis - wild and domestic
    (Pigs, cattle) animals. A person infected with leptospirosis during agricultural operations; less often in contacts
    Animal and foodborne. The peak incidence of leptospirosis falls on the warm season (May-September).

    The manifestations of leptospirosis
    Anicteric form of leptospirosis: the incubation period - 5-12 days
    a sharp rise in body temperature to 39-40 ° C, muscle and headaches,
    conjunctivitis, redness of the sclera and face. At 3-5 day may appear
    bright pink rash on the trunk and extremities. There may be nausea, vomiting
    (Sometimes with blood), abdominal pain. In some cases, there
    Two step for the disease - the first dominated by influenza
    displays; for the second (after a few days or weeks) is characterized
    typical clinic anicteric leptospirosis. forecast anicteric
    Leptospirosis is favorable. Complications anicteric leptospirosis -
    inflammation of the kidneys, lungs and eyes.

    Icteric leptospirosis (Weil's disease-Vasileva) - the most malignant
    form of leptospirosis. The incubation period - 2-19 days (average 7-13 days). Icteric leptospirosis begins
    acute body temperature rises to 39-40 ° C. The fever lasts 5-7 days and
    then reduced to normal values. Concurrently with a fall in body temperature
    (Sometimes 2-4 days of disease) appears icteric staining of the skin and mucous membranes
    membranes.

    Approximately 30% of patients re-watch, usually shorter, the rise
    body temperature (the second week of illness); 2 at the beginning of the week becomes jaundice
    more intense. Present muscle and headaches, conjunctivitis, nausea, vomiting (often
    with blood), and abdominal pain. Can be cold sores on the face. Almost all
    patients reveal an enlarged liver and spleen. In favorable cases, from the end of
    second week and for the next 5-6 weeks comes a gradual recovery.
    Complications of jaundice leptospirosis: the defeat of the organs of vision - paresis of the external muscles of the eye, the iris,
    optic neuritis. Recovery is accompanied by the generation of
    proof of immunity.



    How is the examination and treatment of leptospirosis

    Microscopy of blood is most effective in the early days of the disease.

    The reaction lysis patient serum and a standard set of microorganisms
    performed on 2-3 week-th disease. A week later, the reaction should be repeated
    to detect the rise in antibody titers.

    Treatment of leptospirosis:

    • Bed rest, lacto-vegetarian diet.
    • Antibiotics: penicillin G 6-12 million units / day in / or amoxicillin
      500 mg orally every 6 hours - for 5-7 days.
    • The populations most susceptible, vaccinate
      vaccine triply at weekly intervals.

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