Clinical and Epidemiological Status of Leptospirosis in a Tropical Caribbean Area of Colombia

Table 2

Lethal cases of leptospirosis in Córdoba.

Id/Gender Years Procedence	Devol	Dhos	Clinical manifestations	Blood count	IgM (Value )	MAT 1 (title)	MAT 2 (title)	MAT Results (serogroups)	Antibiotic therapy	Diagnosis at admission	Discharge diagnosis
1/F; 14; Puerto Escondido.	7	13	Fever, headache, nausea, jaundice, vomiting, hyporexia, asthenia, coluria, cough abdominal pain, diarrhea, abdominal examination, mucocutaneous pallor, dyspnea, pleural effusion, ascites, hepatomegaly, tachypnea.	Leukocytosis, mild anemia, grade I thrombocytopenia	30.1 Positive	160	640	canicola	DA, CN, AMP, SAM	Viral hepatitis, abdominal pain	Hepatic failure, hepatitis under study
2/M; 14; San Andrés Sotavento.	4	2	Fever, headache, nausea, vomiting, chills, abdominal pain, diarrhea, abdominal examination, convulsions, mucocutaneous pallor, dyspnoea, pleural effusion, ascites, hepatomegaly, splenomegaly, tachycardia, tachypnea, algidity, hypotension, bilateral infiltration, hypoventilation.	Neutrophilia, mild anemia, severe leukopenia, grade III thrombocytopenia.	31.6 Positive	0	0	Negative	DA,CRO,ACET	Dengue	Leptospirosis
3/M; 47; Montelibano	10	6	Fever, headache, nausea, vomiting, chills, retroocular pain, abdominal pain, diarrhea, abdominal examination, seizures dyspnea, pleural effusion, tachypnea. Crepitos.	Lymphocytosis, mild anemia, mild leukopenia, grade II thrombocytopenia.	14.7 Positive	320	640	icterohaemorrhagiae	DA, Antimalarico.	Malaria	Malaria
4/M; 45; Ayapel	5	38	Fever, headache, nausea, vomiting, chills, asthenia coluria, hyperconjunctival injection, abdominal pain, abdominal examination, mucocutaneous pallor, dyspnea, pleural effusion, asitis, hepatomegaly, tachycardia, tachypnea, hypoventilation.	Leukocytosis, neutrophilia, grade II thrombocytopenia.	27.8 Positive	40	160	Ballum	CN,SAM,MEM.	Hemorrhagic icteric syndrome	Unspecified jaundice, unspecified renal failure

F: female, M: male, Devol: days of evolution at admission, Dhosp: days of hospitalization, ICU: intensive care unit, DA: clindamycin, CN: gentamicin, AMP: ampicillin, SAM: ampicillin & sulbactam; CRO: ceftriaxone, MEM: meropenem, ACET: acetaminophen. Patient with underlying arterial hypertension, required ICU admission, coinfection with malaria.