[Leptospirosis. Review of 5 cases].
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.
Resano Igal
A B
AB
Servicio de Medicina Interna, Hospital de Guipúzcoa, San Sebastián.
Camino Ortiz De Barrón
X
X
Urbe Castelruiz
P K
PK
Erro Garzarón
A
A
Larruscáin Garmendia
J
J
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000032:analysis; D004796:Clinical Enzyme Tests; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D007919:Leptospira / Q000276:immunology; D007921:Leptospira interrogans / Q000276:immunology; D007922:Leptospirosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D012128:Respiratory Distress Syndrome / Q000209:etiology; D012189:Retrospective Studies; D012772:Shock, Septic / Q000209:etiology; D014895:Weil Disease / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D007075:Immunoglobulin M
Leptospirosis. Revisión de 5 casos.