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Lepto Spiros Is
Lepto Spiros Is
IS
EfridaWarganegara
AETIOLOGYANDTRANSMISSION
Leptospirosisaretightlycoiledspirochaetes,
515umlong
Activerotationalmovementandhave2
flagella
Bestseenbydarkfieldmicroscopybecause
notverywellstainedbydyes
Leptospirainterrogeransquestionmark
likehookattheendofm.o.
Thisspesiesingectsmammalsasrats,
causingchronickidneysinfectionwith
excretionoflargenumbersofbacteriain
urine
AETIOLOGYANDTRANSMISSION
Bacteriaaresoonkilledondrying,heating,
exposuretodetergentsordesinfectans
Theyremainviableforseveralweeksin
stagnantalkalinewaterorwetsoil.
Humanareinfectedbyingstionofor
exposuretocontaminatedwaterorfood
Bacteriabymotilityenterthrough
breaksinskinormucosae,sothatinfection
canbeacquiredbyswimming,workingor
playingincontaminatedwater
Bacteriaareexcretedinhumanurinebut
persontopersontransmissionisrare
CLINICALFEATURESANDPAHOGENESIS
Bacteriareachthebloodandafteranincubation
periodof12weeks,causeafebrile,influenzaelike
illness
Multiplicationinliverhepatitis,jaudiceand
hemorrhage;inkidneyuremiaandbacteriuria;
inCSFandhumoraquosasepticmeningitis;in
eyeconyuctivalandscleralhemorrhage
Theclinicalpicturedependtosomeextentonthe
particulartypeofleptospire
WeillsDiseasesevereformwithhaemorrhagic
complicationandkidneyandliverfailureoccurs
inonly510%ofpatientsillwithleptospirosid
DIAGNOSIS,TREATMENTAND
PREVENTION
Thereisoftenahistoryofexposure
Bacteracanbeisolatedfromblood,CSF,and
urine
Riseinagglutinationantibodycanbe
demonstrated
Penicillinandtetracyclinhavebeenvaluablein
treatmentwhengivenadayortwoofonsetof
llness
Doxycyclinewillpreventdiseaseinthose
exposedtoinfection
Measuresforpreventionincluderodentcontrol,
protectiveclothingandprophylacticpenocillin
aftercutsandabrasionsinthoseatrisk