Name
LEPTOSPIROSIS
DESCRIPTION
DETAIL
D.D. : - MALARIA - ENTERIC FEVER - VIRAL HEPATITIS - DENGUE FEVER - HANTAVIRUS INFECTION - RICKETTSIAL DISEASEOTHER TESTS : * URINE ROUTINE - LEUKOCYTES, ERYTHROCYTES, HYALINE OR GRANULAR CAST. MILD PROTEINURIA * ESR - ELEVATED * LEUKOCYTE COUNT - 3000 - 26,000/ CU MM WITH A LEFT SHIFT * THROMBOCYTOPENIA IN 50 % - MILD * CPK - ELEVATED IN 50% * LIVER FUNCTION TESTS - ELEVATED * CSF - POLYMORPHS INCREASED INITIALLY & THEN MONONUCLEAR CELLS, SLIGHT RISE IN PROTEINS, GLUCOSE - NORMAL. * X - RAY CHEST - PATCHY ALVEOLAR PATTERN IN SEVERE CASES THAT CORRESPONDS TO SCATTERED ALVEOLAR HAEMORRHAGE. MOST OFTEN AFFECTS LOWER LOBE & IN THE PERIPHERY. * ISOLATION OF THE ORGANISM FROM THE PATIENTS BLOOD OR CSF SAMPLE IN THE FIRST 10 DAYS & FROM URINE BEGINING FROM 1 WEEK TO SEVERAL WEEK. * CULTURE MAY BECOME POSITIVE AFTER 2 TO 4 WEEKS. * RISE IN THE ANTIBODY TITER IN THE MICROSCOPIC AGGLUTINATION TEST * INDIRECT HAEMAGGLUTINATION TEST * MICROCAPSULE AGGLUTINATION TEST * IGM ELISA TEST * DOT - ELISA TEST * GOLD IMMUNOBLOT TEST
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
CPK ( MALE ), URINE ROUTINE, URINE CULTURE TEST, X-RAY CHEST P.A. VIEW( NORMAL ), BLOOD CULTURE, COMPLETE BLOOD COUNT, CSF EXAMINATION, PCR, LIVER FUNCTION TEST, ELISA TEST