Leptospirosis(ELIPPANI-MALAYALAM)
A common illness during Monsoon in Kerala esp with the floods
Fever with red eyes with the warning signs of MUSCLE PAIN
Decreased urine
Jaundice ,
Skin rash,
Blood in sputum
Presumptive laboratory Diagnosis
Ig M ELISA ,Latex agglutination is the screening tests
Confirmation tests(not useful in case management as early diagnosis is important)
Culture
Polymerase chain reaction (PCR)
Microscopic Agglutination tests (MAT)
Early treatment is the mainstay of management and so suspicion and early diagnosis is important
Can become fatal
Prevention
Esp during floods
PROTECTIVE CLOTHING TO PREVENT OCCUPATIONAL HAZARD
RODENT CONTROL
PROPHYLACTC ADMINISTRATION OF DOXYCYCLIN 200 mg EVERY WEEK PRACTISED DURING FLOODS(DOXY CLINICS BY GOVERNMENT HEALTH SERVICE)
AZITHROMYCIN USED IN CHILDREN AND PREGNANT
DANE HAS FACILITY FOR SCREENING TESTS