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Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 86
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
Introduction:
Leptospirosis is a zoonotic disease caused by
organisms of the genus Leptospira. A broad spectrum of clinical
manifestations may occur in humans.
Aim:
To give same data of about leptospirosis in Albania from
January 2006 - December 2015.
Methods:
We study cases with leptospirosis in our clinic UHC
“Mother Teresa” which is the only tertiary center in Albania and
most of the cases are treated in it. All cases were confirmed
serologically with ELISA (enzyme-linked immunoassay) positive
for IgM antibodies.
Results:
Between 2006-2015, 206 cases of confirmed
leptospirosis were analysed. Males were 185 (89.8%) and 21
(10.2%) were females. Mean age at the time of diagnoses were
43.7 years old with 17.8±DS range 17-78. The highest incidence
was observed in the 45-64 age groups. The time from the first
symptoms until they presented to hospital was 6.8 days. Sign and
symptoms were: myalgia in 88.8%; fever with average 38.2°C in
86% of cases; fatigue in 83.9%; headache in 70.8%; jaundice in
66.9%, vomiting and abdominal disturbations in 55.8%, respiratory
signs in 29.6% and renal insufficiency in 31.5% of cases.
Laboratory results included: hyperleukocytosis in 66% of cases,
thrombocytopenia in 42.7%, hyperbilirubinaemia were present
in 71.8% of cases with an average level of 7.28 mg/dl, hepatic
abnormalities (85.4%), aspartate aminotrasferase were elevated
in 75.7% of cases, alanine aminotransferase were elevated in
79.1% of cases and renal abnormalities were elevated serum
creatinine in 38.3%, proteinuria in 73.7% of cases, haematuria in
30.5% of cases, leukocyturia in 41.7% of cases. Overall mortality
was found to be 8.2%.
Conclusion:
There was a predominance of the males in ratio
8.8:1. The disease was more frequent during summer-autumn.
Leptospirosis is a multiorgans disease. The study confirmed
the variable clinical and biological symptoms of leptospirosis,
and indicated that hepatic and renal abnormalities are common
feature of leptospirosis.
edmond_puca@yahoo.comAn panoramic view of clinical presentation of leptospirosis in
Albania
Edmond Puca¹, Gentian Stroni¹, Elda Qyra, Migena Qato¹, Monika Saro¹, Pellumb
Pipero¹, Arjan Harxhi, Najada Como¹, Erjona Abazaj², Eugena Tomini², Silvia Bino²
and
Dhimiter Kraja¹
1
University Medical Center of Tirana “Mother Teresa”, Albania
2
Institute of Public Health, Tirana, Albania
Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003