Mailloux A
Bull Soc Pathol Exot Filiales. 1980 May-Jun;73(3):229-38.
In French overseas Departments and Territories, Leptospiroses exist. In the Caribbean zone, human Leptospiroses are frequently found; in Martinique island, and some cases are recorded in French Guyana. In the Indian Ocean, "La Réunion" island, approximately 40 cases are diagnosed every year (mortality rate: 17%). In Polynesian areas, 3 serovars are found. Biological diagnosis is easier now with screening tests. Sera are to be sent to the National Leptospirosis Centre, Paris, for confirmatory test. In fact, the high incidence of Icterohaemorrhagiae serogroup does not seem to reflect the real situation, but represents the severe cases diagnosed in hospitalized patients. Minor cases remain often unnoticed. A survey of human and animal Leptospiroses would give another classification of serogroups frequency. It is important to know that 80% of Leptospiroses occur without jaundice.
在法属海外省和领地存在钩端螺旋体病。在加勒比地区，经常发现人类钩端螺旋体病病例；在马提尼克岛，法属圭亚那也记录了一些病例。在印度洋，留尼汪岛每年约诊断出40例（死亡率：17%）。在波利尼西亚地区，发现了3个血清型。现在通过筛查试验，生物学诊断变得更容易。血清样本需送往巴黎的国家钩端螺旋体病中心进行确诊试验。事实上，出血性黄疸型血清群的高发病率似乎并不能反映实际情况，而是代表了住院患者中诊断出的严重病例。轻症病例往往未被注意到。对人类和动物钩端螺旋体病进行调查将得出血清群频率的另一种分类。需要知道的是，80%的钩端螺旋体病病例无黄疸症状。
