Concurrent icterohaemorrhagic leptospirosis and septicemic salmonellosis acquired during urban disaster

Adult male after swimming in flood water in an urban area presented icterohaemorrhagic leptospirosis and septicemic salmonellosis. Severe clinical signs were characterized by fever, septicemia, jaundice, vomiting, haemorrhagic diarrhea and acute kidney failure. Peritoneal dialysis and treatment with penicillin and chloramphenicol were applied. Diagnosis was made on clinical, epidemiological and laboratorial basis. There was anticorpic seroconversion specific for L icterochaemorrhagiae. Hemocultures were positive for Salmonella with antigenica structure 4,5,12:i:-, a possible monophasic variant of S. typhimurium, 05 + (4,5,12:i:1,2). The patient survived. Attention is called to the cumulative risks for diseases acquired on exposure on exposure to floods, such as this double occurrence of diseases, both of animal origin. In view of clinical signs of comparable pathogenic and epidemic expression, investigation should be directed towards laboratorial tests for concurrent diseases

Contribuicao para o estudo epidemiologico das leptospiroses em serpentes do Brasil: levantamento sorologico em Bothrops jararaca do Estado de Sao Paulo / Epidemiological study of leptospiroses in Brazilian snakes: serological survey in Bothrops jararaca of Sao Paulo State

Os autores examinaram soros de serpentes peconhentas da especie Bothrops jararaca (Wied, 1824), conhecida como "jararaca", empregando uma bateria de antigenos constituida de 11 sorotipos. Encontraram para Leptospira indice de positividade de 46,47% pela tecnica de soroaglutinacao microscopica. O sorotipo andamana foi identificado em 33 amostras das 71 serpentes examinadas e o sorotipo bataviae em coaglutinacao apenas num dos casos