钩端螺旋体热:病例报告

Gajulapalle Sree lakshmi
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引用次数: 0

摘要

钩端螺旋体是一种由钩端螺旋体感染引起的人畜共患疾病,钩端螺旋体在热带和温带地区都很流行,但在热带地区更为常见,因为致病菌在热带环境中存活的时间更长。钩端螺旋体生活在啮齿动物、牛、羊和猪等哺乳动物的肾脏中,但啮齿动物是该疾病传播的最常见宿主。人类在接触受感染的动物组织或排泄物后偶然感染。患者女,47岁,以发热5天,咳嗽4天,感觉改变2天为主诉入住我院普通内科病房。患者在入院当天还主诉头痛和衣服里有不自觉的尿。患者是已知的哮喘病例,口服FORACORT吸入器治疗。患者接受注射治疗。头孢曲松,青蒿素,强力霉素,伯氨喹,对乙酰氨基酚和体外受精。患者完全康复后出院,并建议继续使用FORACORT治疗哮喘。
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Leptospirosis Fever: Case Report
is a zoonotic disease caused by infection with leptospira species which is prevalent in both tropical and temperate regions, but more common in tropics as the pathogenic bacteria survives longer in tropical environment. Leptospira species lives in kidneys of mammalian species like rodents, cattle, sheep and pig but rodents are the most common reservoir in transmission of the disease. Humans are infected incidentally after being exposed to infected animal tissue or excreta. A 47-year-old female patient admitted in our hospital in general medicine ward with chief complaints of fever for 5 days, cough for 4 days and altered sensorium for 2 days. Patient also complained about headache and involuntary passage of urine in clothes on the day of admission. Patient was a known case of asthma on oral treatment of FORACORT inhaler. Patient was treated with Inj. CEFTRIAXONE, ARTESUNATE, DOXYCYCLINE, PRIMAQUINE, PARACETEMOL and IVF. Patient was discharged after complete recovery and advised to continue FORACORT for asthma.
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