Pathophysiology: Leptospirosis is a type of bacterial infection spread by animals. It's caused by a strain of bacteria called leptospira. Leptospirosis is a bacterial disease that affects both humans and animals. The early stages of the disease may include high fever, severe headache, muscle pain, chills, redness in the eyes, abdominal pain, jaundice, haemorrhages in skin and mucous membranes (including pulmonary bleeding), vomiting, diarrhoea and a rash. Leptospiral infection in humans causes a range of symptoms, and some infected persons may have no symptoms at all.
Treatment: Effective antibiotics include penicillin G, ampicillin, amoxicillin and Doxycycline. In more severe cases cefotaxime or ceftriaxone should be preferred.Glucose and salt solution infusions may be administered; dialysis is used in serious cases. Elevations of serum potassium are common and if the potassium level gets too high special measures must be taken. Serum phosphorus levels may likewise increase to unacceptable levels due to renal failure.
Statistics: This article first gives a review of leptospirosis in Finland before 1943, when diagnosis depended entirely on the clinical picture, and then describes some of the work done since that time. Up to the end of 1952, 33 cases of leptospirosis were confirmed by sero logical tests. Of these, 5 were diagnosed between May and November, 1952, when the sera of 1, 000 patients suspected to be suffering from enteric fever were tested for the presence of leptospiral agglutinins.