Challenge in clinical diagnosis and treatment of leptospirosis

Título traducido de la contribución: Reto clínico en el diagnóstico y tratamiento de leptospirosis

Resultado de la investigación: Contribución a RevistaArtículo

Resumen

2015, Universidad del Rosario. Todos los derechos reservados: La leptospirosis es una enfermedad febril aguda causada por la leptospiria. Se considera una zoonosis que afecta a una variedad de animales, tanto salvajes como domésticos (principalmente roedores). Los seres humanos se infectan accidentalmente por contacto con orina o tejidos de animales infectados. Esta patología tiene manifestaciones clínicas variables, que van desde infecciones inaparentes y meningitis aséptica, hasta formas graves como el síndrome de Weil. Desarrollo: Presentamos el caso de un paciente joven de 22 años con fiebre cuantificada en picos de 40° C, escalofríos, sudoración profusa, dolor de cabeza, dolores musculares y articulares en rodillas y móleos, dolor retro-orbitario y retrosterno; y pérdida de apetito. Los síntomas se presentaron después de 20 días de haber practicado deportes acuáticos extremos. Conclusión: El diagnóstico tardío del paciente y la readmisión hospitalaria son el resultado de varios factores; en primer lugar, la homología con otras enfermedades infecciosas que presentan enfermedades febriles agudas con síntomas similares como dengue, malaria, gripe, fiebre amarilla, brucelosis; y en segundo lugar, la falta de experiencia y el poco contacto con los pacientes que presentan esta enfermedad por parte del personal médico. El tratamiento antibiótico correcto y el apoyo adecuado reducen la morbilidad y la mortalidad. El objetivo de este artículo es describir un caso de leptospirosis humana y hacer una revisión de la literatura para analizar las características epidemiológicas y las manifestaciones clínicas relevantes.

Idioma originalEnglish (US)
Páginas (desde-hasta)91-97
Número de páginas7
PublicaciónRevista Ciencias de la Salud
Volumen13
N.º1
DOI
EstadoPublished - ene 1 2015

Huella dactilar

Leptospirosis
contagious disease
pain
Patient Readmission
Fever
animal
contact
Disease
pathology
morbidity
Aseptic Meningitis
Yellow Fever
Leptospira
Chills
Sports
Wild Animals
expertise
Sweating
Brucellosis
illness

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title = "Challenge in clinical diagnosis and treatment of leptospirosis",
abstract = "{\circledC} 2015, Universidad del Rosario. All Rights reserved.Introduction: Leptospirosis is an acute febrile disease caused by the leptospira. It is considered a zoonosis that affects a variety of animals, both wild and domestic (mainly rodents). Humans become infected accidentally by contact with urine or tissues from infected animals. This pathology has variable clinical manifestations, ranging from inapparent infections and aseptic meningitis, to severe forms such as the Weil syndrome. Development: We present the case of a young patient of 22 years old with fever quantified peaks of 40° C, chills, profuse sweating, headache, muscle and joint pain in knees and malleoli, retro-orbital and retrosternal pain; and appetite loss. The symptoms occurred after 20 days of having practiced extreme water sports. Conclusion: The late diagnosis of the patient and hospital readmission are the result of several factors; First, the homology with other infectious diseases that present acute febrile illness with similar symptoms as dengue, malaria, influenza, yellow fever, brucellosis; and secondly the lack of expertise and poor contact with patients who present this disease by the medical staff. Correct antibiotic treatment and proper support reduce morbidity and mortality. The objective of this article is to describe a case of human leptospirosis and make a review of the literature in order to analyze the epidemiological characteristics and relevant clinical manifestations.",
author = "R{\'i}os, {Dora I.} and Chaparro-Solano, {Henry Mauricio}",
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Challenge in clinical diagnosis and treatment of leptospirosis. / Ríos, Dora I.; Chaparro-Solano, Henry Mauricio.

En: Revista Ciencias de la Salud, Vol. 13, N.º 1, 01.01.2015, p. 91-97.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Challenge in clinical diagnosis and treatment of leptospirosis

AU - Ríos, Dora I.

AU - Chaparro-Solano, Henry Mauricio

PY - 2015/1/1

Y1 - 2015/1/1

N2 - © 2015, Universidad del Rosario. All Rights reserved.Introduction: Leptospirosis is an acute febrile disease caused by the leptospira. It is considered a zoonosis that affects a variety of animals, both wild and domestic (mainly rodents). Humans become infected accidentally by contact with urine or tissues from infected animals. This pathology has variable clinical manifestations, ranging from inapparent infections and aseptic meningitis, to severe forms such as the Weil syndrome. Development: We present the case of a young patient of 22 years old with fever quantified peaks of 40° C, chills, profuse sweating, headache, muscle and joint pain in knees and malleoli, retro-orbital and retrosternal pain; and appetite loss. The symptoms occurred after 20 days of having practiced extreme water sports. Conclusion: The late diagnosis of the patient and hospital readmission are the result of several factors; First, the homology with other infectious diseases that present acute febrile illness with similar symptoms as dengue, malaria, influenza, yellow fever, brucellosis; and secondly the lack of expertise and poor contact with patients who present this disease by the medical staff. Correct antibiotic treatment and proper support reduce morbidity and mortality. The objective of this article is to describe a case of human leptospirosis and make a review of the literature in order to analyze the epidemiological characteristics and relevant clinical manifestations.

AB - © 2015, Universidad del Rosario. All Rights reserved.Introduction: Leptospirosis is an acute febrile disease caused by the leptospira. It is considered a zoonosis that affects a variety of animals, both wild and domestic (mainly rodents). Humans become infected accidentally by contact with urine or tissues from infected animals. This pathology has variable clinical manifestations, ranging from inapparent infections and aseptic meningitis, to severe forms such as the Weil syndrome. Development: We present the case of a young patient of 22 years old with fever quantified peaks of 40° C, chills, profuse sweating, headache, muscle and joint pain in knees and malleoli, retro-orbital and retrosternal pain; and appetite loss. The symptoms occurred after 20 days of having practiced extreme water sports. Conclusion: The late diagnosis of the patient and hospital readmission are the result of several factors; First, the homology with other infectious diseases that present acute febrile illness with similar symptoms as dengue, malaria, influenza, yellow fever, brucellosis; and secondly the lack of expertise and poor contact with patients who present this disease by the medical staff. Correct antibiotic treatment and proper support reduce morbidity and mortality. The objective of this article is to describe a case of human leptospirosis and make a review of the literature in order to analyze the epidemiological characteristics and relevant clinical manifestations.

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