AI Summary & Key Takeaways
AI InsightThe fever was disappeared on one day after medication and the complete recovery was observed within one week post mediation.
📌 3 Key Takeaways
Abstract
Leptospirosis is a zoonotic disease of domestic animals characterized by icterus and hemoglobluniria. The humans get infected by the excretion and litter of the infected animals or contaminated water. In this report, three cases of leptospirosis in children, with the ages of 1.5, 8, and 10 years, living in farm lands were presented along with clinical and laboratory findings. The symptoms in children were fever, weakness, myalgia, abdominal pain, and abdominal sensitivity. In physical examination, hepatomegaly, splenomegaly, and hydropsis of gallbladder were found. In addition, acute oligouria was found in the 1.5-years-ol girl. Serum samples from patients suspected having leptospirosis were analyzed by MAT and the diagnosis was based on the positive reactions of the test to Leptospira grippotyphosa Moskova V serotype. Leptospirosis in cattle was also found in the same location with human patients. The treatment with penicillin was started in the patients. The fever was disappeared on one day after medication and the complete recovery was observed within one week post mediation.
Özet
Leptospiroz temelde evcil hayvanlarda sarılık ve kan işeme belirtileriyle seyreden zoonoz karakterli bir infeksiyondur. İnfeksiyon insanlara infekte hayvanların salgı ve atıklarıyla direk veya indirek temasla bulaşmaktadır. Aileleri hayvancılıkla uğraşan yaşları 1.5, 8 ve 10 yaşlarında olan üç çocukta görülen leptospiroz vakasının sunumu ile klinik ve laboratuar bulgularının paylaşılması amaçlanmıştır. Çocuklarda ateş, halsizlik, kas ağrısı, karın ağrısı belirtileri vardı. Fizik muayenede hepatomegali, splenomegali, batında hassasiyet, bir hastada konjunktival hiperemi, ikisinde ise skleral ikter mevcuttu. Klinik olarak leptospirozdan şüphelenilen hastaların serumlarının MAT ile incelenmesinde Leptospira grippotyphosa Moskova V ile pozitiflik saptanarak leptospitoz tanısı kondu. Hastaların bulundukları birimde sığırlarda da leptospiroz olduğu tespit edildi. Hastalara kristalize penisilin tedavisi başlandıktan bir gün sonra ateş kayıboldu ve bir hafta içerisinde de tamamen iyileştiler.