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[Leptospirosis in Pomurje and Slovenia]
1Muraszombati Altalános Kórház Fertözö Osztály, Murska Sobota, Szlovénia.
Abstract:
In Pomurje leptospirosis is endemic. During the years 1964-1985 there were 407 leptospiral cases reported in Slovenia, 366 of which were in Pomurje. Inclusion in this study required indication of leptospirae with a fourfold increase of the titer of antibodies or the isolation of leptospirae from hemocultures. In Pomurje in this period 214 men (58.47%) and 152 women (41.53%) were infected. The average morbidity rate was 12.75/100,000 inhabitants. The highest rate was in the country of Lendava (23.14/100,000). Ten serotypes were confirmed: grippotyphosa in 122 (33.33%) of the patients, sejroe in 91 (24.86%), icterohaemorrhagie in 50 (13.66%), saxkoebing in 48 (13.11%), australis in 47 (12.84%), canicola and pomona in two cases, tarassovi and autumnalis in one patient. In one case, the serotype could not be differentiated. The disease occurs throughout the years. In contrast to Western Europe in Pomurje there exists a much larger percent of infected women and a high percentage among the elderly. Two patients have died (mortality rate is 0.55%). One of them succumbed on the 5th day of infection due to massive bleeding in the heart and other organs. The other died on the 12th day under the influence of a severe Weil's syndrome.
Insights
Leptospirosis is endemic in Pomurje, Slovenia, with 366 cases reported between 1964-1985. The study identified common serotypes and noted a higher infection rate in women and the elderly compared to Western Europe.
Area of Science:
- Epidemiology
- Infectious Diseases
- Bacteriology
Context:
- Leptospirosis is an endemic zoonotic disease in the Pomurje region of Slovenia.
- The study period spans from 1964 to 1985, encompassing 407 reported leptospiral cases in Slovenia.
- Diagnostic criteria included a fourfold increase in antibody titer or isolation of leptospirae from hemocultures.
Purpose:
- To analyze the epidemiological characteristics of leptospirosis in Pomurje, Slovenia.
- To identify prevalent leptospira serotypes and demographic patterns of infection.
- To compare regional findings with those in Western Europe.
Summary:
- A total of 366 leptospirosis cases were recorded in Pomurje between 1964 and 1985.
- The most common serotypes identified were grippotyphosa (33.33%) and sejroe (24.86%).
- Infection rates were higher in men (58.47%) than women (41.53%), with a notable prevalence among the elderly and a higher percentage of infected women compared to Western Europe.
Impact:
- The study highlights unique epidemiological features of leptospirosis in Pomurje, including a higher proportion of female and elderly cases.
- Identified serotypes provide crucial data for understanding local transmission dynamics.
- The findings contribute to public health strategies for leptospirosis prevention and control in endemic areas.