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An Med Interna ; 16(10): 527-9, 1999 Oct.
Article in Spanish | MEDLINE | ID: mdl-10603673

ABSTRACT

Five cases of leptospirosis diagnosed from 1978 to 1996 were retrospectively reviewed. The five patients were male and their mean age was 34.2 years. Epidemiologic factors were found in the 5 patients. The 3 common clinical findings: fever, myalgia and jaundice were found in the 5 patients. Hepatorenal involvement was observed in 4 cases (80%), bleeding episodes in 4 patients (80%), cardiac involvement in 4 (80%); in none case was observed central nervous system involvement. In one case (20%) was observed septic shock with acute respiratory failure. The Leptospira serogroups identified were icterohaemorrhagiae in 3 cases and could not be determined in 2. All the patients were amelioration with antibiotic therapeutic. The epidemiologic, clinical, analytical and therapeutic aspects are discussed.


Subject(s)
Leptospirosis/diagnosis , Adult , Anti-Bacterial Agents/therapeutic use , Antibodies, Bacterial/analysis , Clinical Enzyme Tests , Enzyme-Linked Immunosorbent Assay , Humans , Immunoglobulin M/analysis , Leptospira/immunology , Leptospira interrogans/immunology , Leptospirosis/complications , Leptospirosis/drug therapy , Male , Respiratory Distress Syndrome/etiology , Retrospective Studies , Shock, Septic/etiology , Weil Disease/complications , Weil Disease/diagnosis , Weil Disease/drug therapy
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