Study of the leptospirotic etiology in the digestive pathology, particularly in acute abdomen

The paper approaches the possible leptospirotic etiology of non-icteric or late icteric digestive manifestations: digestive hemorrhage, particularly epigastric, acute cholecystitis (non-lithiasic), acute appendicitis, acute gastroenterocolitis, etc., which can be indicative of an acute or latent (from 14 days to several months) leptospirosis. A number of 300 patients with high fever, epidemiological data relevant for leptospirosis and diagnosis upon admission to hospital were investigated using the work method presented in the paper. The synoptical table presents in detail 30 serologically confirmed leptospirosis cases; this reveals the fact that any serotype can be determining and the severe evolution may occur when the etiological diagnosis and treatment are delayed. The 1.67% incidence for the cases clinically expressed by the studied pathology points to the need to consider this pathology as a possible expression form of leptospirosis against the specific epidemiological context.