Volume : IV, Issue : I, January - 2015

Study Of Pulmonary Involvement In Leptospirosis

Dr. Jitendra. H. Parikh, Dr. Meeta. G. Nanavati, Dr. Darshak

Abstract :

BACKGROUND: Leptospirosis, a zoonotic disease caused by spirochetes of genus Leptospira. It has a worldwide distribution and is common in the humid tropical and subtropical areas, where most developing countries are found. It is a greater problem in tropical countries than those with a temperature climate. Outeak mostly occur as a results of heavy rainfall and consequent flooding.41 Leptospirosis is very common form in south Gujarat since last few years, particularly its occurrence in rainy season in the month of July to September. During this period, farm worker acquire infection while working in farm. Pulmonary symptoms are common in icteric cases, so high degree of suspicion , early recognition and prompt referral to higher centres with facility of mechanical ventilator is necessary to because to decrease mortality. AIMS AND OBJECTIVES: 1) To study the pulmonary involvement in Leptospirosis. 2) To study the involvement of other organ systems in Leptospirosis bedsides pulmonary involvement. 3) To know the prognostic factors in cases having due to Leptospirosis. 4) To study mortality in pulmonary due to Leptospirosis. 5) To study the role of multi organ dysfunction along with pulmonary involvement in mortality due to Leptospirosis. METHOD: The present study was carried out in new civil hospital , Surat (NCHS) during the outeak in the years 2005 and 2006 between the month of July and October. All the patients referred to NCHS with clinical suspicion of Leptospirosis were studied. CONCLUSION: Pulmonary involvement is one of the common modes of presentation in Leptospirosis in south Gujarat. Breathlessness ,cough, and haemoptysis are common pulmonary symptoms on presentation .ARDS and alveolar haemorrhage are important complications of pulmonary involvement in Leptospirosis and associated with high mortality .Plasmapheresis is a newer modality of management in pulmonary involvement with Leptospirosis and has promising results and can be tried in future.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. JITENDRA. H. PARIKH,Dr. MEETA.G.NANAVATI,Dr.Darshak Study Of Pulmonary Involvement In Leptospirosis International Journal of Scientific Research, Vol : 4, Issue : 1 January 2015

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