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Polymerase Chain Reaction and Dot-Blot Hybridization for Leptospira Detection in Water Samples
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Leptospirosis in pregnancy.

G Puliyath1, S Singh

  • 1Department of Obstetrics and Gynaecology, SUT Academy of Medical Sciences, Trivandrum, 695028 Kerala, India. pgeetha98@yahoo.co.in

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
|May 3, 2012
PubMed
Summary

Leptospirosis, a zoonotic disease from Leptospira bacteria, can cause severe illness and death, especially in pregnant women. Early diagnosis and public health measures are crucial for prevention and reducing mortality.

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Published on: November 20, 2015

Area of Science:

  • Infectious Diseases
  • Zoonotic Diseases
  • Public Health

Background:

  • Leptospirosis is a zoonotic disease caused by Leptospira spirochetes, transmitted from animals to humans through contaminated environments.
  • While often mild, severe cases can lead to multiorgan failure with up to 40% mortality.
  • Infection during pregnancy poses significant risks to both mother and fetus, often presenting with non-specific symptoms.

Purpose of the Study:

  • To highlight the diagnostic challenges and severe implications of leptospirosis in pregnancy.
  • To emphasize the need for increased awareness and improved diagnostic and treatment strategies.

Main Methods:

  • Review of clinical presentations and outcomes of leptospirosis.
  • Analysis of differential diagnoses in pregnant patients.
  • Assessment of factors contributing to misdiagnosis and under-reporting.

Main Results:

  • Leptospirosis in pregnancy can mimic various conditions, leading to delayed diagnosis.
  • Severe maternal and fetal morbidity and mortality are associated with leptospirosis in pregnancy.
  • Poor sanitation and environmental contamination are key factors in epidemic outbreaks.

Conclusions:

  • Leptospirosis in pregnancy is often misdiagnosed due to its varied presentation.
  • Preventive measures including public education, sanitation, and prompt medical intervention are essential.
  • Early diagnosis and treatment are critical to reduce perinatal and maternal mortality associated with leptospirosis.