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[Leptospirosis in children in Rio do Janeiro]
M L Cruz1, J Andrade, M M Pereira
1Serviço de Doenças Infecciosas e Parasitárias, Hospital dos Servidores do Estado, Rio de Janeiro, Brasil.
Revista Da Sociedade Brasileira De Medicina Tropical
|January 1, 1994
Summary
Symptomatic leptospirosis in children often presents with fever and myalgia. This study identified common clinical signs, including jaundice and impaired renal function, in pediatric leptospirosis cases.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Context:
- Leptospirosis is a zoonotic infection with diverse clinical presentations.
- Understanding pediatric leptospirosis is crucial for early diagnosis and management.
- Data on clinical manifestations in children is limited.
Purpose:
- To describe the clinical manifestations of symptomatic leptospiral infection in children.
- To analyze serological data from pediatric patients suspected of leptospirosis.
Summary:
- A review of 188 microscopic agglutination tests on sera from children aged 0-12 years was conducted.
- Fifty-two sera (27.6%) tested positive, with 23 (12.2%) showing acute infection.
- Common symptoms included fever (100%), myalgia (69.5%), headache (52.1%), and jaundice (47.8%).
- Other noted signs were vomiting, abdominal pain, hemorrhagic manifestations, impaired renal function, conjunctivitis, and hepatomegaly.
Impact:
- Provides essential data on pediatric leptospirosis clinical profiles.
- Aids clinicians in recognizing and diagnosing leptospirosis in children.
- Highlights the importance of serological testing for pediatric leptospirosis confirmation.