What are the symptoms of leptospirosis? How treatment is carried out by leptospirosis? Answers to these questions you will find in the article.
Content
WITH
Impripa leptospirosis
The disease begins acutely with chills and increasing the temperature during
day to 39.5-41s. At the same time there are severe headache,
nausea, vomiting, abdominal pain. Characterized by severe muscular pain,
mainly in the calf muscles, the muscles of the neck, abdomen, back and
Cool. The face is thought-out, hyperemic, spool vessels injected.
Frequently often observed polymorphic rash (Ultra, Corppy,
Scarlatin-like, hemorrhagic), localized on the limbs and
Torchishche. Lymph nodes are increased, dense, painful, blood pressure is reduced,
Heart tones are muted, the pulse lags behind the temperature level
(relatively bradycardia). From the 2nd Day of the disease increase the size
liver, which becomes dense and painful when palpation. Stomach
Usually break, the tongue is dry, covered with brown raid.
With high
Temperature Against the background of pronounced intoxication quite often develops
infectious-toxic shock, which is one of the reasons
Fatal outcome. In the acute period of the disease, it is often noted
Beware of the kidneys: appears pain in the lower back, positive symptom
Pasternatsky, the amount of urine decreases, they detect it
Erythrocytes, in large quantities, hyaline and grainy
Cylinders.
Often develops acute renal failure with raising
Urea, uric acid and creatinine in blood. In the period of completion
Some sick fever appears jaundice. With severe flow,
Often on the background of acute renal failure develops acute
Liver dystrophy, leading to acute liver failure,
Encephalopathy and hepatic coma. Hemorrhagic syndrome is manifested in
the form of hemorrhages in the skin at the site of injections, phetechial rash (mchristmas hemorrhage),
hemorrhages in the scler. Often observed signs of irritation
Brain shells or pronounced meningeal syndrome (symptoms of Kerniga, Brudzinsky).
Treatment of leptospirosis
The main method of treatment is possible early destination
Antibiotics. The introduction of a specific
Immunoglobulina. In the treatment of patients with severe forms of leptospirosis,
complicated acute renal failure, great importance
Pathogenetic therapy acquires. Most effective
antibiotics are penicillins, with intolerance to them
Use tetracycline group antibiotics. Most effective
Treatment started until the 4th day from the beginning of the disease. The later from the beginning
The development of the disease begins specific treatment, the worse the forecast
For patients.
