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Leptospirosis
- Leptospira interrogans
- spirochaete, 5-15µm
- viable in stagnant alkaline water / wet soil
Course
- Enter via damaged skin/mucosa
- incubation 1-2 weeks
- 90% flu-like febrile illness, resolves spontaneously
- Severe form leads to Weils disease
- Haemorrhagic disease, liver failure
Risks - contaminated water
- swimmers
- miners
- farmers
- sewage workers
- canoeists
- water skiers
Control
- Rodent control
- protective clothing
- prophylactic penicillin on
skin abrasion
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