[Two leptospirosis cases and review of the national literature].
In this report, two cases of leptospirosis admitted to our clinic in the same periods, have been presented. The first patient was a 29 years old male farmer, and the other was a 44 years old male prisoner. Both of them were from Middle Anatolian Region with the similar clinical findings (subfebrile fever, gastrointestinal complaints, ichterus in sclera, leucocytosis, and increased levels of liver enzymes, urea and creatine). The diagnosis was based on the antibody positivities against Leptospira with microscopic agglutination test which performed in the Etlik Central Veterinary Control and Research Institute. The first case was positive for L. grippotyphosa, and the second was positive for L. australis serovar bratislava at the titers of 1/800. Both of the patients were given empirical antibiotic treatment (ceftriaxone 2 x 1 gr, and ampicillin-sulbactam 4 x 1 gr, respectively), and discharged with complete healing. These cases led us to review the other leptospirosis cases in our country.
Celikbaş
Aysel Kocagül
AK
Ankara Numune Eğitim ve Araştirma Hastanesi, 1. Enfeksiyon Hastaliklari ve Klinik Mikrobiyoloji Kliniği, Ankara.
Ulu
Ayşegül
A
Eren
Sebnem
S
Ergönül
Onder
O
Dokuzoğuz
Başak
B
D000328:Adult; D000372:Agglutination Tests; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D002443:Ceftriaxone / Q000627:therapeutic use; D006801:Humans; D007919:Leptospira / Q000145:classification / Q000276:immunology / Q000302:isolation & purification; D041281:Leptospira interrogans serovar australis / Q000276:immunology / Q000302:isolation & purification; D007922:Leptospirosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D013407:Sulbactam / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; C035444:sultamicillin; D002443:Ceftriaxone; D000667:Ampicillin; D013407:Sulbactam