title: [Etiological structure and clinical epidemiological characteristics of Leptospira infection in Rostov Province based on data from therapeutic institutions from 1960 to 1983].
abstract: Changes in communal conditions, in economy, as well as in ecology and fauna, which took place in Rostov Province during the last decade (1973-1983) determined shifts in the etiological structure of Leptospira infection and in its course. The study revealed an increase in morbidity caused by L. icterohaemorrhagiae (up to 61%) and L. hebdomadis (up to 22%) with a simultaneous decrease in the isolation rate of L. grippotyphosa and L. pomona (up to 2-3%). In most cases (77%) the diseases caused by leptospires of different serogroups were found to take an icteric course accompanied by the development of hepatorenal insufficiency (46%). The similarity of clinical manifestations in different etiological forms of Leptospira infection was determined by common pathogenetic and pathophysiological features characteristic of the development of the leptospiral infectious process.
mesh_terms: D000367:Age Factors; D004197:Disease Reservoirs; D004463:Ecology; D006801:Humans; D007922:Leptospirosis / Q000453:epidemiology / Q000209:etiology*; D012426:Russia; D012959:Socioeconomic Factors; D014895:Weil Disease / Q000453:epidemiology / Q000209:etiology
vernacular_title: Etiologicheskaia struktura i kliniko-épidemiologicheskaia kharakteri stika leptospiroznoĭ infektsii v Rostovskoĭ oblasti po materialam nekotorykh lechebnykh uchrezhdeniĭ za 1960--1983 gg.