RESUMO
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.
Assuntos
Leptospirose/epidemiologia , Adulto , Cardiomiopatias/etiologia , Hematúria/etiologia , Humanos , Icterícia/etiologia , Leptospira/classificação , Leptospira/isolamento & purificação , Leptospirose/complicações , Leptospirose/microbiologia , Leptospirose/patologia , Masculino , Pessoa de Meia-Idade , Insuficiência de Múltiplos Órgãos/etiologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/microbiologia , Estudos Retrospectivos , Espanha/epidemiologiaAssuntos
Ceftriaxona/efeitos adversos , Colelitíase/induzido quimicamente , Infecções por Actinobacillus/complicações , Infecções por Actinobacillus/tratamento farmacológico , Adulto , Aggregatibacter actinomycetemcomitans , Colelitíase/diagnóstico , Endocardite Bacteriana/complicações , Endocardite Bacteriana/tratamento farmacológico , Feminino , HumanosAssuntos
Miosite/etiologia , Febre Q/complicações , Rabdomiólise/etiologia , Adulto , Feminino , HumanosAssuntos
Brucella abortus/isolamento & purificação , Brucelose/epidemiologia , Adulto , Idoso , Animais , Brucelose/microbiologia , Bovinos/microbiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Doenças Profissionais/microbiologia , Espanha/epidemiologiaRESUMO
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.