Residents cautioned after leptospirosis cases confirmed in Phayao

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Residents cautioned after leptospirosis cases confirmed in Phayao

By THE NATION

 

Photo credit: researchgate.net

 

The provincial public health office in Phayao has warned residents to take precautions when going or working outside following a small outbreak of leptospirosis. Sixteen cases have so far been diagnosed, most involving elderly farmers. 

 

Twelve of the cases were reported in Pong district, one of the nine districts in this northern province, according to Dr Kraisuk Phetcharaburanin, chief of the provincial office.

 

He said five measures to deal with the potentially fatal bacterial disease, often transmitted by animal urine or by water or soil containing animal urine coming into contact with breaks in the skin, had been activated, and called on anyone with high fever, aching calves and muscle pains to seek immediate treatments.

 

He also called on doctors to immediately test for leptospirosis and administer treatment. Follow-up measures include controls to contain the disease and coordination with concerned government agencies tasked with containment operations.

 

Source: https://www.nationthailand.com/news/30375488

 

-- © Copyright The Nation Thailand 2019-08-28

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[wombat]

what is the test for leptospirosis and what does it cost ?

[ripstanley]

What are the symptoms? 

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 Just did a Google search

 

Signs and symptoms

Symptoms in people

Symptoms in humans may vary. Depends on the type and amount of infection Common symptoms include acute fever, severe headache, chills, severe muscle pain. (Often pain in the calves, thighs, back muscles and calves). Red eyes may have fever for several days, alternating with the fever phase (biphasic) and meningitis. With palatal exanthema, anemia, bleeding spots on the skin and mucous membranes, liver and kidney failure, jaundice may have meningitis Causing confusion, delirium, inflamed myocardial infarction May have respiratory symptoms, cough, sputum, may contain blood (hemoptysis) and chest pain

Atypical pneumonia syndrome is seen in patients with leptospirosis. Aseptic meningoencephalitis may be caused by all types of Leptospira. But often found from Canicola, Icterohaemorrhagiae and Pomona

In Thailand, the disease is reported in patients with unknown cause 2.2% to 18.9%. The 1991-1993 survey by the Department of Medical Sciences found a prevalence of 4.8%, but the prevalence in children hospital was 36.11%.

Although the symptoms of the disease are quite diverse, there may be prominent symptoms of one organ being damaged, whether it is the kidneys, liver, respiratory system, or circulatory system. But from reports that are in Thailand The most common symptoms are high fever (88.8-100%), headache (66-100%), muscle pain (76-100%) and conjunctivitis (74-100%). For less yellow symptoms is 37-70. % Other symptoms include rash, bleeding spots on the skin, coughing up blood, enlarged liver, splenomegaly etc.

The severity of the disease depends on the type and amount of the infection, such as Icterohaemorrhagiae and Bataviae, which tend to cause more severe symptoms (jaundice, bleeding and renal failure) than other types of infections such as Canicola, Grippotyphosa and Hardjo, Leptospirosis. that Tend to cause symptoms of no jaundice (anicteric illness) than jaundice (icteric disease), which even Icterohaemorrhagiae That often causes jaundice, kidney damage, bleeding And ending with a relatively high mortality rate Jaundice is often found not more than 10%.

Symptoms in animals

Animals will respond to leptospira infection by showing the following symptoms:

• Acute peracute 
  fever with a temperature of 104 - 107 degrees Fahrenheit (40-42 degrees Celsius). Acute renal failure in children. High mortality rate of up to 80%
• Subacute (acute or subacute) 
  symptoms, fever, lethargy, not eating congestion in the conjunctiva. Bleeding under the skin Yellow urine, yellow eyes, anemia, internal organs such as spleen, kidney, lymph nodes are large. Found nephritis, pneumonia, enteritis, non-hot milk, swelling and redness, immediately stop feeding Lactation appears to be abnormal, with a yellow or red blood clot. Abortion usually occurs during the last 3 months of pregnancy. Have a high mortality rate at birth New born baby animals are weak. Some babies have neurological symptoms. Due to brain and meningitis Mortality rate of about 5%
• Chronic (chronic) 
  animals have abnormalities in the reproductive system. Low mixing rate Reduced fertility due to reduced sperm production Abortion occurs regularly, overgrown placenta, high mortality and first birth. Number of children per litter The production of milk decreases continuously until the end of the lactation period. Resulting in the newborn babies receiving insufficient milk supply The body therefore loses weight, is weak and susceptible to opportunistic infections.
• Subclinical 
  most common in animals The animal is in normal condition and does not show any symptoms but will have leptospirosis in the kidneys. And is excreted with urine, which is an important source of disease For spreading to humans and other animals

Edited August 28, 2019 by ripstanley