RESUMO
The author describes cases of secondary leptospirosis. Secondary infection with leptospiras occurred in patients with concomitant pathology. In connection with occupational activity or life-style the patients got infected from Rattus norvegicus.
Assuntos
Leptospira interrogans/isolamento & purificação , Leptospirose/microbiologia , Ratos/microbiologia , Adulto , Animais , Vetores de Doenças , Humanos , Leptospirose/transmissão , MasculinoRESUMO
The authors report 49 cases of mixed infection (Lyme disease + tick-born encephalitis). All the patients were citizens of the Russian North-West. Clinically, there were symptoms of Lyme disease (erythema) and tick-born encephalitis (serous meningitis, neuritides of the cranial and peripheral nerves). In patients with mixed infection in the presence of erythema symptoms of tick-born encephalitis were less evident. The diagnosis of Lyme disease erythema-free form in combination with tick-born encephalitis may be made only by dynamic serological tests for both of these infections.