Leptospirosis:Bacterial infection caused by the Leptospira species of bacteria

It is a zoonotic disease, meaning it is transmitted from animals to humans. The infection is common in tropical and subtropical regions, especially in areas with poor sanitation or frequent flooding.

 

Key Facts

  • Causative Agent: Leptospira bacteria (spirochetes).
  • Transmission:
    • Humans get infected through contact with water, soil, or food contaminated by the urine of infected animals.
    • Direct contact with infected animals can also lead to infection.
  • At-Risk Populations: Farmers, veterinarians, sewage workers, and individuals in flood-prone areas.

Symptoms

Leptospirosis symptoms can vary widely, ranging from mild flu-like symptoms to severe, life-threatening conditions. They typically appear 5–14 days after exposure but can take up to 30 days.

Mild Leptospirosis:

  • Fever
  • Headache
  • Muscle pain (especially in calves and lower back)
  • Chills
  • Red eyes (conjunctival suffusion)
  • Nausea and vomiting
  • Skin rash

Severe Leptospirosis (Weil’s Disease):

  • Jaundice (yellowing of the skin and eyes)
  • Kidney failure
  • Liver damage
  • Respiratory distress
  • Meningitis (inflammation of the brain’s lining)
  • Bleeding tendencies (e.g., in lungs or gastrointestinal tract)

Severe cases may lead to multi-organ failure and can be fatal without timely treatment.

Diagnosis

  1. Clinical Symptoms: Initial assessment based on symptoms and history of exposure.
  2. Laboratory Tests:
    • Microscopic Agglutination Test (MAT): A gold-standard serology test to detect antibodies.
    • PCR (Polymerase Chain Reaction): Detects Leptospira DNA in blood or urine samples.
    • Culture: Isolation of bacteria from blood, urine, or cerebrospinal fluid.

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