Vaughan C, Cronin C C, Walsh E K, Whelton M
Cork Regional Hospital, Department of Medicine, Wilton, Ireland.
Postgrad Med J. 1994 Feb;70(820):118-21. doi: 10.1136/pgmj.70.820.118.
Three patients with leptospirosis whose condition worsened after initiation of antibiotic therapy are reported. Their clinical deterioration appeared to be due to the development of the Jarisch-Herxheimer reaction rather than to progression of their underlying infection. Relevant aspects of the management of patients with leptospirosis are discussed.
报告了3例钩端螺旋体病患者,他们在开始抗生素治疗后病情恶化。其临床恶化似乎是由于雅里希-赫克斯海默反应的发生,而非潜在感染的进展。本文讨论了钩端螺旋体病患者管理的相关方面。