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ETIOLOGY:
LEPTOSPIRA INTERROGANS
LEPTOSPIROSIS
WEILS SYNDROME DANGEROUS
PRETIBIAL (FORG BRAGG) FEVER
MYOCARDITIS
ASEPTIC MENINGITIS
* BLOOD
* CEREBROSPINAL FLUID
SYMPTOMS:
~ RECURRENT CHILLS
~ ABDOMINAL PAIN
~ DIARRHEA
~ PHOTOPHOBIA
~ SEVERE HEADACHE:
- FRONTAL
- <RETRO-ORBITAL DHF
- BITEMPORAL
- OCCIPITAL
Leptospira/10x40
Tidak ditemukan
<1
1 50
51 100
> 100
Kriteria
+
+
++
+++
Leptospiruria
Negatif
Ragu-ragu
Ringan
Sedang
Berat
SPECIFIC FEATURES
1
.
W
E
I
L
S
S
Y
N
D
R
O
M
E
SPECIFIC FEATURES
1. WEILS SYNDROME (1)
~ SEVERE LEPTOSPIROSIS
~ CLINICAL MANIFESTATIONS
* JAUNDICE
* AZOTEMIA
* HEMORRHAGES
* ANEMIA
2. ASEPTIC MENINGITIS
~ PLEOCYTOSIS IS PRESENT AFTER THE IMMUNE PHASE
~ LEUKOCYTES TENS HUNDREDS/MM 3
>>NEUTROPHILS OR MONONUCLEAR CELLS
~ CSF GLUCOSE NORMAL
~ CSF PROTEIN >100 MG%
~ XANTHOCHROMIC CSF
4. MYOCARDITIS
~ CARDIAC ARRHYTMIAS
- ATRIAL FIBRILATION
- ATRIAL FLUTTER
- VENTRICULAR CONTACTIONS
~ ACUTE LEFT VENTRICULAR FAILURE
~ JAUNDICE
~ PULMONARY INFILTRATES
~ ARTHRITIS
~ SKIN RASHES
TREATMENT (1)
* ANTIMICROBIAL DRUGS:
~ PENICILLIN G/ PP
~ CEFTRIAXON 2-3 GRMS DAILY
~ STREPTOMYCIN
~ TETRACYCLINE
~ CHLORAMPHENICOL
~ ERYTHROMYCIN
~ MUST BE ADMINISTERED WITHIN 2-4 DAYS,
OF THE ONSET OF ILLNESS
TREATMENT (2)
* SUPPORTIVE THERAPY
~ EARLY BED REST
~ FLUID & ELECTROLYTE
~ PERITONEAL DIALYSIS/HEMODIALYSIS AZOTEMIA
~ EXCHANGE TRANSFUSION HYPERBILIRUBUNEMIA
PROGNOSIS
~ THE VIRULENCE OF THE ORGANISM
THE JAUNDICE: