[Epidemiologic aspects of leptospiroses in the region of Meknes].
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Biomedical subjects
Publications and source records attributed to M Mailloux.
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Eco-geographic conditions are good for spread of Leptospiroses in Martinique. Leptospiroses are widespread in all parts of the Island. Many people have animals in inhabitation area. When they are sought, Leptospiroses can be diagnosed. During 3 years, we found many cases confirmed by biological diagnosis (immunological research of antibodies). Icterohaemorrhagiae is the first serogroup encountered and the most frequent. After follow Canicola, Ballum, Cynopteri and Javanica. Actually, Leptospiroses are a disease more frequent than is generally thought in Martinique. But only the severe cases are hospitalized, so diagnosed. Many cases of fever of unknown origin can be Leptospiroses.
Seven cases of L.I.H. are noted simultaneously in a military group in the suburbs of Algier. It is an anademic by contamination at the same point, without interhuman infection. Only two of these cases have clinical symptoms to permit diagnosis of the others by research of specific antibodies (Immunodiagnosis). Anicteric forms are very frequent. This explains probably failure of diagnosis when epidemiological conditions are realized. This unawareness of leptospiroses is unfortunately a general phenomenon in the world.
A serological study on bovines in Guadeloupe (French Carraibes) was conducted during 1973-1974. 456 animals were tested. Their sera were examined by microscopic agglutination technique with 20 antigens. Antibodies against the following serogroups: Ballum, Icterohaemorrhagiae, Bataviae, Australis, Pomona and Sejroë, were found. Ballum is the first serogroup by frequency and titers of antibodies. One young animal was ill and Immunological Test revealed a high titer of antibodies against serogroup Sejroë. This work demonstrates the existence of animal leptospiroses in Guadeloupe.
A total of 14 cases of leptospirosis in children aged from 5 to 15 years, hospitalized in the Paris region, are reported. The polymorphe character of the disease is pointed out. The necessity for respecting a rigorous chronological order when requesting complementary examinations, which could confirm the diagnosis, is stressed. Domestic animals, team-mates, and while swimming at week-ends or during holidays, are potential sources or means of infection in the young. This justifies searching for leptospirosis in cases of unexplained fever, a pseudo-influenza syndrome, a meningitis which is mainly of the lymphocytic type, or more rarely, in cases of jaundice. Leptospirosis should be a disease well-known by the pediatrician.
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