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» LymeNet Flash » Questions and Discussion » Medical Questions » Chronic Leptospirosis?

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Author Topic: Chronic Leptospirosis?
merrygirl
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has ayone ever heard that humans can have chronic Leptospirosis?

I have been exposed many times to Lepto. I was doing some reading and some of symptoms and the fact that it can cause enlarged spleen and nephritis (which I have) had me thinking.

I was tested 8 months ago and it was negative. I know that Lepto is a spirochete and shares symptoms with Lyme. I also know it is usually an acute illness.

If anyone has see any articles could you post a link? I am not the best researcher! Thanks a lot.
Melissa [confused]

Posts: 3905 | From USA | Registered: May 2007  |  IP: Logged | Report this post to a Moderator
SForsgren
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Energetically, I have tested positive for Leptospirosis before so I don't see why it could not be chronic.

--------------------
Be well,
Scott

Posts: 4617 | From San Jose, CA | Registered: Jul 2005  |  IP: Logged | Report this post to a Moderator
CaliforniaLyme
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Leptospirosis is epidemic among California sea lions, always makes me suspicious of surfers with Multiple Sclerosis. So it IS in California. YES, it can certainly be chronic and there are various strains- it is often lethal to kidneys. Babesiosis is also a big renal candidate.

1: Ren Fail. 2004 Nov;26(6):655-61.Links
Comment in:
Ren Fail. 2005;27(4):491-2.

Acute renal failure: a common manifestation of leptospirosis.

Cetin BD, Harmankaya O, Hasman H, Gunduz A, Oktar M, Seber E.
Department of Infectious Diseases and Clinical Microbiology, Sişli Etfal Training and Research Hospital, Istanbul, Turkey.

Leptospirosis is an infectious disease caused by pathogenic leptospires and may vary in degree from an asymptomatic infection to severe and fatal illness. Sixteen patients (all males; aged 40+/-17 years) with leptospirosis were admitted to Sişli Etfal Training and Research Hospital between July 1998 and August 2003 and were retrospectively reviewed. Age, gender, occupation, clinical presentation, laboratory features, seasonal distribution of the disease, diagnostical approach, and prognostic factors were evaluated. Eleven patients were cured with no complication; four patients died of hepatic and/or renal failure. Eight patients presented with acute renal failure; seven of them needed dialytic support. One patient developed chronic renal failure and had to undergo regular hemodialysis.

This study emphasizes that leptospirosis presenting with renal failure is a severe disease, and mortality is frequently related to delays in diagnosis due to lack of clinical understanding.

The association of acute renal failure and jaundice should lead the clinician to suspect leptospirosis.

We concluded that old age, oliguria/anuria, high serum bilirubin levels, and high serum potassium levels might be risk factors that increase mortality in leptospirosis.

PMID: 15600257

--------------------
There is no wealth but life.
-John Ruskin

All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer

Posts: 5639 | From Aptos CA USA | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
   

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