Swart K S, Wilks C R, Jackson K B, Hayman J A
Med J Aust. 1983 May 14;1(10):460-3. doi: 10.5694/j.1326-5377.1983.tb136166.x.
Between May, 1979, and May, 1981, leptospirosis was diagnosed, on the basis of serological and culture findings, in specimens from 208 of 2516 patients with symptoms which suggested leptospirosis or other zoonoses. The most common serological reactions were with serovars hardjo (69%), pomona (29%) and tarassovi (2%). There was a clear association between infection and occupation in 101 farmers, 44 meat workers and 11 meat inspectors. It would seem prudent to consider leptospirosis in the differential diagnosis of pyrexia in patients who have occupational contact with animals, and to institute appropriate serological and culture examinations.
在1979年5月至1981年5月期间,根据血清学和培养结果,在2516例有钩端螺旋体病或其他人畜共患病症状的患者标本中,确诊了208例钩端螺旋体病。最常见的血清学反应是与哈焦血清型(69%)、波摩那血清型(29%)和塔拉索夫血清型(2%)发生反应。101名农民、44名肉类加工工人和11名肉类检查员的感染与职业之间存在明显关联。对于与动物有职业接触的发热患者,在鉴别诊断中考虑钩端螺旋体病并进行适当的血清学和培养检查似乎是谨慎的做法。