Chabrolle J P, Derrida S, Mailloux M, Rossier A
Sem Hop. 1979;55(1112):601-7.
A total of 14 cases of leptospirosis in children aged from 5 to 15 years, hospitalized in the Paris region, are reported. The polymorphe character of the disease is pointed out. The necessity for respecting a rigorous chronological order when requesting complementary examinations, which could confirm the diagnosis, is stressed. Domestic animals, team-mates, and while swimming at week-ends or during holidays, are potential sources or means of infection in the young. This justifies searching for leptospirosis in cases of unexplained fever, a pseudo-influenza syndrome, a meningitis which is mainly of the lymphocytic type, or more rarely, in cases of jaundice. Leptospirosis should be a disease well-known by the pediatrician.
据报道,巴黎地区有14例5至15岁儿童感染钩端螺旋体病并住院治疗。文中指出了该疾病的多形性特征。强调了在要求进行辅助检查以确诊时,必须严格遵循时间顺序。家畜、队友以及在周末或节假日游泳时,都是年轻人潜在的感染源或感染途径。这就解释了为何在出现不明原因发热、假流感综合征、主要为淋巴细胞型的脑膜炎,或更罕见的黄疸病例中要排查钩端螺旋体病。钩端螺旋体病应该是儿科医生熟知的一种疾病。