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Doctor insights on: Leptospirosis

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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. ...Read more

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Dr. Joel Gallant
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30 years in practice
10M people helped
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Dr. Joel Gallant
Board Certified
30 years in practice
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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. ...Read more

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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. ...Read more

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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. ...Read more

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Dr. Joel Gallant
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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. ...Read more

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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. ...Read more

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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. ...Read more

Connect with a doctor for a more personalized answer ›
10

10
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. ...Read more

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Dr. Joel Gallant
Board Certified, Infectious Disease
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10M people helped
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