Suárez Hernández M, Santisteban Mota R, Cabrera Cabrera J, Pelaéz Martínez R
Hospital Provincial Docente Dr. Antonio Luaces Iraola, Ciego de Avilo, Cuba.
Rev Clin Esp. 1995 Jul;195(7):459-62.
A clinical epidemiological study of reported leptospirosis cases in adults in the period 1984-1988 in the province Ciego de Avila, Republic of Cuba, was conducted. The most frequent symptoms and signs were: fever, headache and arthralgia. Eighty-two percent of patient were anicteric. The most frequent presumptive diagnosis included leptospirosis, virosis, and febrile syndrome. Sporadic cases predominated over cluster cases. The incidence of cases was higher from October to December. Sixty-five percent of patients were 36 years old or less. The serogroups detected more frequently were Leptospira interrogans var. Australia and Leptospira interrogans var Pomona. The high range of diagnostic and presumptive approaches with cases show that most cases would go undetected if an active surveillance is not implemented.
对古巴共和国谢戈德阿维拉省1984 - 1988年期间报告的成人钩端螺旋体病病例进行了临床流行病学研究。最常见的症状和体征为：发热、头痛和关节痛。82%的患者无黄疸。最常见的初步诊断包括钩端螺旋体病、病毒感染和发热综合征。散发病例多于聚集性病例。病例发病率在10月至12月较高。65%的患者年龄在36岁及以下。检测到频率较高的血清群为问号钩端螺旋体澳洲变种和问号钩端螺旋体波摩那变种。对病例采用的多种诊断和初步诊断方法表明，如果不实施主动监测，大多数病例将无法被发现。
