Author/Editor		Pal, Emil; Prelog, Ivan
Title		Prikaz bolnikov z leptospirozo, zdravljenih na Oddelku za infekcijske bolezni in vročinska stanja Splošne bolnišnice Murska Sobota v letu 2002 - pomen hemokultur pri njeni diagnostiki
Translated title		Case report of patients with leptospirosis hospitalized in the Department of infectious diseases at General hospital Murska Sobota in the year 2002 - the significance of blood culture
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. 5
Publication year		2003
Volume		str. 275-7
Language		slo
Abstract		Background. Leptospirosis is a zoonosis with worldwide distribution. In Slovenia, Pomurje is an endemic area. Manifestations of leptospirosis may be observed as different types of disease. The range from a short-lived febrile state to a severe disease with renal failure, liver impairment, hemorrhage and fulminand course. Patients and methods. Until year 2001 in the Department of infectious diseases at General Hospital Murska Sobota, only serological methods in diagnosis of leptospirosis had been used. Only in 2002 isolation of leptospires from blood was used. Four cases of confirmed leptospirosis hospitalized in our Department in 2002 were presented with broad spectrum of clinical courses and the significance of cultivation of leptospires from blood in the diagnosis. Conclusions. Because of the protean manifestations of leptospirosis, microbiological tests are essential for confirmatory diagnosis. In case of epidemiological data, clinical course and laboratory markers suggesting the diagnosis of leptospirosis, it is advisible to obtain blood cultures.
Summary		Izhodišča. Leptospiroza je zoonoza, ki je razširjena po vsem svetu. V Sloveniji je Pomurje endemsko področje. Poteka lahko subklinično, kot kratkotrajno vročinsko stanje, lahko pa tudi s prizadetostjo več organskih sistemov, predvsem ledvic in jeter, s krvavitvami in fulminantnim potekom. Do leta 2001 smo na Oddelku za infekcijske bolezni in vročinska stanja v Murski Soboti za potrditev okužbe uporabljali izključno serološke metode. Z letom 2002 smo pričeli s poskusom izolacije leptospir iz krvi. Predstavili smo štiri primere bolnikov z dokazano leptospirozo, ki so se zdravili na našem oddelku leta 2002, z zelo pestro klinično sliko in pomenom osamitve leptospir iz krvi pri njeni diagnostiki. Zaključki. Zaradi pestrega poteka leptospiroze so za potrditev okužbe nujne mikrobiološke preiskave. V primeru epidemioloških podatkov, poteka bolezni, kliničnih znakov in laboratorijskih kazalnikov možnosti okužbe z leptospirami je smiselno odvzeti kri za poskus osamitve leptospir.
Descriptors		LEPTOSPIROSIS WEIL'S DISEASE SERODIAGNOSIS SLOVENIA