ABSTRACT
Eleven cases of leptospirosis diagnosed from 1988 to 1994 were retrospectively reviewed. The mean age of the patients was 52 years. Epidemiologic factors were found in 10 patients. Hepatorenal involvement was observed in 7 cases (64%), cardiac involvement in 3 (27%), bleeding episodes in 5 (45%) and central nervous system involvement in one case (9%). The Leptospira serogroups identified were: Icterohaemorrhage in 6 cases, Pomona in 1, Sejroe in and could not be determined in 3. One patient died because of multiorgan failure. The epidemiologic, clinical, analytical and therapeutic aspects are discussed.
Subject(s)
Leptospirosis/epidemiology , Adult , Cardiomyopathies/etiology , Hematuria/etiology , Humans , Jaundice/etiology , Leptospira/classification , Leptospira/isolation & purification , Leptospirosis/complications , Leptospirosis/microbiology , Leptospirosis/pathology , Male , Middle Aged , Multiple Organ Failure/etiology , Occupational Diseases/epidemiology , Occupational Diseases/microbiology , Retrospective Studies , Spain/epidemiologySubject(s)
Ceftriaxone/adverse effects , Cholelithiasis/chemically induced , Actinobacillus Infections/complications , Actinobacillus Infections/drug therapy , Adult , Aggregatibacter actinomycetemcomitans , Cholelithiasis/diagnosis , Endocarditis, Bacterial/complications , Endocarditis, Bacterial/drug therapy , Female , HumansSubject(s)
Myositis/etiology , Q Fever/complications , Rhabdomyolysis/etiology , Adult , Female , HumansSubject(s)
Gardner Syndrome/complications , Mesentery/pathology , Adult , Fibrosis , Gardner Syndrome/diagnosis , Humans , MaleSubject(s)
Aortic Valve , Catheterization/adverse effects , Staphylococcal Infections/etiology , Aged , Heart Valve Diseases/etiology , Humans , Male , VeinsSubject(s)
Arthritis, Infectious/diagnosis , Staphylococcal Infections/diagnosis , Sternoclavicular Joint , Adult , Humans , MaleABSTRACT
One hundred thirty cases of Q fever were seen in the Basque region of Spain between 1981 and 1984. Approximately 40% of these were related to epidemic outbreaks, and the remainder were isolated cases. The large majority of cases occurred in young men and women between 20 and 40 years of age. A seasonal peak coincided with lambing time in the region. Treatment had favorable outcome in each case, and no chronic disease was seen.
