179 - Leptospirosis Flashcards
Leptospirosis is usually ___ or with light __, __ and __.
asymptomatic
fever
headache
myalgia
Severe leptospirosis present with __, __, and __ (mostly __)
jaundice
renal failure
bleeding
pulmonary
Leptospirosis transmission is via direct contact with __, __, __, __.
urine
blood
tissue
water reservoir
Leptospirosis penetrate to the body through __/__ and the spreads is __.
skin cracks/mucosa
hematogenic
Leptospirosis incubation is between - weeks and up to __ days, then the bacteria can be found in __->__->__
1-2 30 blood CSF urine
Mild leptospirosis symptoms include __ signs. May look like ___ due to __ and other symptoms
flu-like
aseptic meningitis
photophobia
Physical examination may show: 5
conjunctiva erythema hepatosplenomegaly jaundice lymphadenopathy rash
Mild leptospirosis usually resolves __ within - days.
spontaneously
7-10
Severe leptospirosis typical presentation is called- __
Weil’s syndrome
Weil’s syndrome triade:
jaundice
hemorrhage
acute kidney injury
Leptospiral meningitis includes ___ status changes, and has up to __% chance for mortality if left untreated.
mental
13
Mortality due to leptospirosis is usually caused by __ and __ or complications due to __ originating in the GI/urinary/cutaneous/pulmonary system.
septic shock
MOF
hemorrhage
Leptospirosis lab is usually unspecific, but can show __ due to __ consumption. Inflammatory index increase (__, __, __)
thrombocytopenia
platelets
CRP/ESR/procalcitonin
What are the electrolyte and liver changes in leptospirosis?
hypokalemia elevated Cr elevated urea elevated bilirubin elevated transaminase/ALP/amylase
Leptospirosis urine will show: 5
leukocytes erythrocytes hyaline cast granular casts protein
