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).
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
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.