[Results of ambulatory care and serodiagnosis of leptospirosis in reconvalescents in the Kuban region]. / Rezul'taty dispanserizatsii i serodiagnostiki leptospiroza u rekovalestsentov na Kubani.

The importance of the medical checkup of leptospirosis reconvalscents is shown. In 18.9% of persons having had leptospirosis and placed under medical surveillance the presence of pathological changes has been established after clinical convalescence. Recommendations concerning the prolongation of the period of medical surveillance on leptospirosis reconvalescents with less frequent checkups are given.

[Role of serodiagnosis in recognizing atypical forms of leptospirosis in Krasnodar Territory]. / Rol' serodiagnostiki v raspoznavanii atipichnykh form leptospirozov v Krasnodarskom krae.

The work deals with the epidemiological situation with respect to Leptospira infections in the Krasnodar territory. The work demonstrates that, in comparison with 1960-ies characterized by the prevalence of diseases caused by L. pomona and L. grippotyphosa, in 1970-ies the increase of the specific proportion of infections caused by L. icterohaemorrhagiae was registered. In recent 5 years (1980-1984) this leptospirosis constituted 73.5-94.8% of the total morbidity rate in the territory. Such situation was caused by active prophylactic measures in cattle breeding, as well as by the increase of the number of leptospirosis foci, appearing as the result of human activities and providing favorable conditions for the life and multiplication of Norway rats, the main source of infection caused by L. icterohaemorrhagiae as indicated by the fact that up to 23.9% of the Norway rats examined in this study proved to be contaminated. The detection of cases of leptospirosis among febrile patients and mistakes in clinical diagnosis confirm the necessity of the serological examination of febrile patients with the acute onset of the disease with temperature reaching 38 degrees C and higher for 3-5 days and the clinical picture of the disease being unclear in order to find out patients presenting with the atypical clinical picture of leptospirosis.