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[钩端螺旋体病:一种常被漏诊的疾病?瑞士的流行病学与诊断]

[Leptospirosis: a frequently missed diagnosis? Epidemiology and diagnosis in Switzerland].

作者信息

Steffen I, Frei R, Widmer A F

机构信息

Abteilung für Spitalhygiene, Kantonsspital Basel, Universitätskliniken.

出版信息

Praxis (Bern 1994). 2000 Aug 10;89(31-32):1257-62.

Abstract

Clinical leptospirosis is rarely seen in Switzerland due to the climatic conditions. Nevertheless people may still suffer from leptospirosis, even to the extent of requiring intensive medical treatment. Variable symptoms and problematic diagnostics can make the diagnosis of leptospirosis difficult. Through two cases with varied symptoms, the clinical and diagnostic features of the disease are presented. In addition, the risk factors, the epidemiology and the diagnostic possibilities are discussed.

摘要

由于气候条件,瑞士临床上很少见到钩端螺旋体病。然而,人们仍可能感染钩端螺旋体病,甚至需要重症治疗。症状多样且诊断存在问题,这使得钩端螺旋体病的诊断颇具难度。通过两例症状各异的病例,介绍了该病的临床和诊断特征。此外,还讨论了风险因素、流行病学及诊断方法。

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