Top
20
Doctor insights on: Leptospirosis

Share
Dr. Leonard Mermel
51 Doctors shared insights

Leptospirosis (Overview)

A severe infection that is caused by a specific bacteria. It usually occurs in warmer climates, and the bacteria may be found in fresh water that is contaminated with animal urine.


1

1
What choices do I have for treating leptospirosis?

What choices do I have for treating leptospirosis?

A few choices: If the patient isn't so sick, then oral Doxycycline is a good choice. In sicker patients, penicillin g IV therapy is preferred. More recent trials have shown that third-generation cephalosporins are as effective as Doxycycline and penicillin in treating this disease. The crucial step is to actually be thinking about this diagnosis in the right situation.

Dr. Leonard Mermel
51 Doctors shared insights

Leptospirosis (Overview)

A severe infection that is caused by a specific bacteria. It usually occurs in warmer climates, and the bacteria may be found in fresh water that is contaminated with animal urine.


3

3
What are the symptoms of leptospirosis?

Flu-like symptoms: The disease starts with a fever, headache, and other flu-like symptoms. After recovering from those symptoms, you can then go on to develop meningitis, kidney failure, and liver damage with jaundice.

4

4
What are the tests for leptospirosis?

See below: Clinical features and lab testing are not specific, a high index of suspicion must be maintained for the diagnosis. Cultures can be done growing the bacteria. Serologic test: labs and include the microscopic agglutination test (mat), macroscopic agglutination test, indirect hemagglutination, and elisa. Mat is considered the gold standard. Molecular techniques (pcr) are being developed.

6

6
How is leptospirosis transmitted and how is it treated?

Surroundings: Humans most often become infected after exposure to environmental sources, such as animal urine, contaminated water or soil, or infected animal tissue. Portals of entry include cuts or abraded skin, mucous membranes or conjunctiva. The vast majority of infections with leptospira are self-limiting. Although penicillins, tetracyclines, chloramphenicol, and Erythromycin have antileptospiral activity.

7

7
My dog has leptospirosis, currently under treatment. Should I get my children and spouse and myself checked, too?

My dog has leptospirosis, currently under treatment. Should I get my children and spouse and myself checked, too?

Discuss With Doctor: Human Leptospirosis infection can occur mainly from exposure to urine of an infected animal. 90% of infections occur with mild or no symptoms. Severe illness can result in jaundice, kidney failure & more. Symptoms are: fever, chills, headache, nausea, rash & more. Treated with antibiotics (AB). Recommend you discuss exposure w/ your doctor to monitor for symptoms & to discuss treatment options.

8

8
What are the tests for leptospirosis?

See below: Clinical features and lab testing are not specific, a high index of suspicion must be maintained for the diagnosis. Cultures can be done growing the bacteria. Serologic test: labs and include the microscopic agglutination test (mat), macroscopic agglutination test, indirect hemagglutination, and elisa. Mat is considered the gold standard. Molecular techniques (pcr) are being developed.

9

9
What are the symptoms of leptospirosis?

Flu-like symptoms: The disease starts with a fever, headache, and other flu-like symptoms. After recovering from those symptoms, you can then go on to develop meningitis, kidney failure, and liver damage with jaundice.

10

10
What is the life cycle of leptospirosis?

See answer below: The following link provides a fairly detailed description: http://www.leptospirosis.org/life-cycle-of-pathogenic-leptospires/

11

11
Can you tell me how leptospirosis effect humans?

Leptospirosis: Leptospirosis symptoms can include: nausea, vomiting, diarrhea, abdominal pain, jaundice, fever, chills, muscle pain, chills, headache and rash in the first phase. If a person goes on to have the second phase of the illness they develop renal or hepatic failure as well as meningitis.

12

12
How much time does it take to cure leptospirosis?

Leptospirosis: Can last variable periods ranging for several days to about 3 weeks with treatment.. Without medical treatment it may take up to several months to recover depending on severity of illness.

13

13
What choices do I have for treating leptospirosis?

A few choices: If the patient isn't so sick, then oral Doxycycline is a good choice. In sicker patients, penicillin g IV therapy is preferred. More recent trials have shown that third-generation cephalosporins are as effective as Doxycycline and penicillin in treating this disease. The crucial step is to actually be thinking about this diagnosis in the right situation.

14

14
How is leptospirosis transmitted and how is it treated?

Surroundings: Humans most often become infected after exposure to environmental sources, such as animal urine, contaminated water or soil, or infected animal tissue. Portals of entry include cuts or abraded skin, mucous membranes or conjunctiva. The vast majority of infections with leptospira are self-limiting. Although penicillins, tetracyclines, chloramphenicol, and Erythromycin have antileptospiral activity.

15

15
How do I know if I have leptospirosis (weil's disease)?

Weil' s Disease is: Actually the second phase of the illness when one could develop renal or hepatic failure as well as meningitis. However, many only have one phase. Nausea, vomiting, diarrhea, abdominal pain, jaundice, fever, chills, muscle pain, chills, headache and rash in the first phase. See your doctor if you believe you may have Leptospirosis.

16

16
What is the definition or description of: Leptospirosis?

Leptospirosis: Leptospirosis is a bacterial disease that can infect both humans & animals.

See 1 more doctor answer
17

17
Is it possible for leptospirosis to transfer from human to dog?

Is it possible for leptospirosis to transfer from human to dog?

Leptospirosis: Leptospirosis is a zoonotic bacterial infection (infecting dogs & humans) that can be spread via urine & other body fluids (not saliva). Infected urine from a dog can remain alive for weeks to months in water & soil. There is a Leptospirosis vaccine for dogs. It is conceivable that a human's infected urine could contaminate water or soil that a dog comes in contact with. (Have never heard of it >

18

18
Can you tell me if average of 36.5 to 37 degrees. Do I have leptospirosis?

Sorry: Can't provide a diagnosis with the available information. Take care.

19

19
My temparature is an average of 36.5 to 37 degrees. Do I have leptospirosis?

Leptospirosis: I think if you had leptospirosis, you would know it much more clearly. That disease is marked by real fevers, severe muscle pains, and headaches. It doesn't sound like you have any of those. Plus, you would need some exposure factor like visiting Hawaii or working with rats or dogs (as in a vet tech or something). A doctor can check you out if you have doubts. Feel better.

20

20
How is leptospirosis spread and what part of the body is most affected by the disease?

Animal urine: You get leptospirosis from contact with the urine of animals, especially rodents. This may occur with the ingestion of contaminated water, food or soil. The disease starts with a fever, headache, and other flu-like symptoms. After recovering from those symptoms, you can then go on to develop meningitis, kidney failure, and liver damage with jaundice.