2002
DOI: 10.1007/bf02723704
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Pediatric presentations of leptospirosis

Abstract: Presentation of non-icteric forms of Leptospirosis are often non-specific and may be missed unless there is a high index of suspicion. This study emphasizes the myositis and meningitis forms of leptospirosis. Delayed diagnosis leads to increased mortality and morbidity.

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Cited by 22 publications
(15 citation statements)
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“…Such severe myositis is well known with leptospirosis, bacterial myositis, influenza virus infection, but not well known with the dengue infection [3,8]. The first three patients experienced severe skeletal muscle weakness and respiratory muscle involvement along with very high blood creatine phosphokinase levels during the first week of the illness.…”
Section: Discussionmentioning
confidence: 94%
“…Such severe myositis is well known with leptospirosis, bacterial myositis, influenza virus infection, but not well known with the dengue infection [3,8]. The first three patients experienced severe skeletal muscle weakness and respiratory muscle involvement along with very high blood creatine phosphokinase levels during the first week of the illness.…”
Section: Discussionmentioning
confidence: 94%
“…3 However, the incidence and disease spectrum of pediatric and adult leptospirosis are not well-described in most areas, and precise information on the frequency and types of severe manifestations in sizeable pediatric populations is limited. [4][5][6] Experienced clinicians in disease-endemic areas commonly believe that leptospirosis produces milder symptoms among children. [5][6][7] In adult case series, approximately 5-10% of human infections indicate severe disease, including the classic Weil's syndrome triad of acute renal failure, jaundice, and hemorrhage (with or without severe pulmonary hemorrhage syndrome [SPHS]) and case-fatality rates ranging from 5-15% (Weil's) to !…”
Section: Introductionmentioning
confidence: 99%
“…Jaundice was present in only 18% of cases with renal failure. Hepatomegaly was observed in 72%, 9% of children presented with shock and 7% had meningitis [19]. Beside of this we consider that it should be kept in mind the observation of Silva HR et al (2003) that leptospiral infection in children is underestimated, because it is asymptomatic or presents as a cold syndrome simile [20].…”
Section: Discussionmentioning
confidence: 98%
“…The prevalence of splenomegaly, jaundice, oliguria, abdominal pain, diarrhea and arrhythmia was significantly higher in adults. In the study of Rajajee et al (2002) among 139 children with leptospirosis, the commonest symptoms were fever (96%), headache and myalgia (24%). Jaundice was present in only 18% of cases with renal failure.…”
Section: Discussionmentioning
confidence: 99%