Also known as canicola fever, swineherd’s disease, or sewer man's flu. Leptospira Tiny and spiral Gram negative Darkfield microscope Motile Aerobic Contaminated water Floodwater among surrounding areas with livestock and rats Abrasion or cuts in the skin 1st phase 2nd phase Nonspecific, flu- Depends on affected like organs Muscle pain Liver- jaundice Headache Kidney- renal failure Chills Lungs- cough, dyspnea, hemoptysis Fever Meningitis- headaches, conjunctivitis fever, stiff neck Complete blood count Urine analysis Liver function test Chest x-ray Lumbar puncture ELISA- detection of IgM antibodies Microscopic agglutination test (MAT) Polymerase chain reaction (PCR) Molecular typing Solid and liquid media Isolation and treat infected animals Hygienic disposal of infected material Detection and elimination of carriers Prevent contact between animals and their urine Cleaning and disinfect all infected premises • The prognosis ranges • Antibiotics (Doxycycline, from good to poor ampicillin, amoxicillin, that depends on the response to Cephalosporin’s, treatment. Pregnant ceftriaxone, cefotaxime, Mothers have higher and quinolone) rate of mortality • Admission is necessary especially if they acquire it early in • Immunization pregnancy. The first tends to occur in temperate climatic conditions. Farming of pigs and cattle puts people at particular high risk. To lower one’s risk of exposure, animal immunization is suggested. The second epidemiological pattern is found in wet tropical regions and has many more serovars implicated and involves more animal reservoirs, including dogs and other pets. Occupational and recreational hygiene to avoid exposure, such as the use of protective gear, should be employed to reduce exposure risk. The third epidemiological pattern is seen in urban environments.