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A Severe Čase with Respiratory Insufficiency


Authors: Z. Čermáková;  J. 'stach;  O. Ryšková
Authors‘ workplace: Ústav klinické mikrobiologie LF UK a FN, Hradec Králové Interní oddělení Masarykovy městské nemocnice, Jilemnice
Published in: Čas. Lék. čes. 2004; : 705-707
Category:

Overview

In the patient čase (man, age 25) with suspected leptospirosis, indication for polymerase chain reaction (PCR) are supposed and procedures suitable for taking biological materiál are recommended. In the presented čase of leptospirosis, serious conditions were accompanied by high fever, chills, hepatorenal failure, meningitis, pneumonia, increased bleeding time and further sy mptoms are described. Introduction of the molecular biological methods (PCR) enables to determine leptospiroses diagnosis even in the early phase of the disease, when the antibodies are not yet formed. Detection of DNA pathogenic leptospires in the PCR method is completed with serological examination by microagglutination-lysis (MAL) method for determination of the corresponding serovar that is important from therapeutic and epidemiological reasons.

Key words:
Morbus Weili, respiratory distress syndrom, Leptospira icterohaemorrhagiae, DNA pathogenic leptospires, microagglutination-lysis

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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist
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