Unele aspecte ale leptospirozei la adulţi

Abstract

The study was done on 72 patients admitted in infectious disease hospital "Toma Ciorba" with sporadic leptospirosis. The disease evolved in moderate and severe forms. The association of clinical symptoms and syndromes helped to establish the correct diagnosis from the first days of the disease, however the correct directed diagnosis was established only in 45,8% of cases. The diagnosis of leptospirosis was established in 90,3% of cases by the admission. The laboratory diagnosis was confirmed by increasing in dynamics of serologic titers with leptospira ictero-haemorrhagica. Leptospirosis was the cause of death in 5 (6,9%) patients.

Studiul este efectuat pe 72 bolnavi de leptospiroză internaţi în SCBI, la care maladia avea caracter sporadic. Leptospiroza la bolnavi a decurs în forme medii şi grave. Asocierea simptomelor clinice în sindroame a favorizat suspectarea leptospirozei chiar din debutul patologiei, însă diagnosticul de îndrumare numai la 45,8% pacienţi a fost corect. La spitalizarea bolnavilor în clinică diagnosticul menţionat a fost suspectat în 90,3%. Confirmarea diagnosticului prin reacţii serologice mai frecvent s-a precizat prin creşterea titrului în dinamică cu leptospira ictero-hemoragică. Au decedat 5 (6,9%) pacienţi.