Outpatient follow-up of patients hospitalized for acute leptospirosis

Bibliographic Details
Main Author: Spichler, Anne Stambovsky
Publication Date: 2011
Other Authors: Athanazio, Daniel Abensur, Seguro, Antônio Carlos, Vinetz, Joseph M.
Format: Article
Language: eng
Source: Repositório Institucional da UFBA
Download full: http://www.repositorio.ufba.br/ri/handle/ri/5285
Summary: Acesso restrito. Texto completo disponível no PORTAL de PERIÓDICOS da CAPES. p. 486–490.
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spelling Spichler, Anne StambovskyAthanazio, Daniel AbensurSeguro, Antônio CarlosVinetz, Joseph M.Spichler, Anne StambovskyAthanazio, Daniel AbensurSeguro, Antônio CarlosVinetz, Joseph M.2012-01-31T15:57:54Z20111201-9712http://www.repositorio.ufba.br/ri/handle/ri/5285v. 15, n. 7.Acesso restrito. Texto completo disponível no PORTAL de PERIÓDICOS da CAPES. p. 486–490.Objective: The outcome of leptospirosis after the resolution of acute disease, either spontaneously or after treatment, is not well described. The aim of this study was to assess the possible sequelae of acute leptospirosis after hospital discharge. Methods: We report here a prospective study carried out in Sa˜o Paulo, Brazil in which patients hospitalized for leptospirosis were followed in the outpatient setting. Results: Forty-seven patients were serially assessed: 32 severe and 15 mild cases. Early and late complications were not common in either group, but subjective complaints were common in the first few weeks after hospital discharge (53% of severe cases, 40% of mild cases). Two patients had continuing complaints: one had profound general malaise and the other developed new onset panic disorder. The sample analyzed represented 26% of the patients hospitalized with leptospirosis in the city of Sa˜o Paulo during the study period. The duration of follow-up was an average of approximately 20 days at the first visit, and approximately 40 days at the second visit. Forty-seven patients came for one follow-up visit and 22 of the same patients had two follow-up visits. Conclusions: While two of 47 patients reported continuing symptoms after hospitalization for acute leptospirosis, no definitive, objective evidence of chronic sequelae due to this infection was proven. While preliminary, these observations point to the need for a prospective, rigorous and systematic study to definitively determine and characterize late complications and chronic disease after acute leptospirosis.Submitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-01-31T15:57:54Z No. of bitstreams: 1 __pdn.sciencedirect.com_....0-S1201971211000762-main.pdf: 189738 bytes, checksum: c92f487971090abc5d407763bb90bb57 (MD5)Made available in DSpace on 2012-01-31T15:57:54Z (GMT). No. of bitstreams: 1 __pdn.sciencedirect.com_....0-S1201971211000762-main.pdf: 189738 bytes, checksum: c92f487971090abc5d407763bb90bb57 (MD5) Previous issue date: 2011http://dx.doi.org/10.1016/j.ijid.2011.03.020reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBALeptospirosisFollow-upAcute diseaseChronic sequelaeOutpatient follow-up of patients hospitalized for acute leptospirosisElsevierinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessORIGINAL__pdn.sciencedirect.com_....0-S1201971211000762-main.pdf__pdn.sciencedirect.com_....0-S1201971211000762-main.pdfapplication/pdf189738https://repositorio.ufba.br/bitstream/ri/5285/1/__pdn.sciencedirect.com_....0-S1201971211000762-main.pdfc92f487971090abc5d407763bb90bb57MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/5285/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXT__pdn.sciencedirect.com_....0-S1201971211000762-main.pdf.txt__pdn.sciencedirect.com_....0-S1201971211000762-main.pdf.txtExtracted texttext/plain30029https://repositorio.ufba.br/bitstream/ri/5285/3/__pdn.sciencedirect.com_....0-S1201971211000762-main.pdf.txt4fcff6fb2ca33e656c664b8f3dcedee7MD53ri/52852022-07-05 14:02:48.772oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestrepositorio@ufba.bropendoar:19322022-07-05T17:02:48Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Outpatient follow-up of patients hospitalized for acute leptospirosis
dc.title.alternative.pt_BR.fl_str_mv Elsevier
title Outpatient follow-up of patients hospitalized for acute leptospirosis
spellingShingle Outpatient follow-up of patients hospitalized for acute leptospirosis
Spichler, Anne Stambovsky
Leptospirosis
Follow-up
Acute disease
Chronic sequelae
title_short Outpatient follow-up of patients hospitalized for acute leptospirosis
title_full Outpatient follow-up of patients hospitalized for acute leptospirosis
title_fullStr Outpatient follow-up of patients hospitalized for acute leptospirosis
title_full_unstemmed Outpatient follow-up of patients hospitalized for acute leptospirosis
title_sort Outpatient follow-up of patients hospitalized for acute leptospirosis
author Spichler, Anne Stambovsky
author_facet Spichler, Anne Stambovsky
Athanazio, Daniel Abensur
Seguro, Antônio Carlos
Vinetz, Joseph M.
author_role author
author2 Athanazio, Daniel Abensur
Seguro, Antônio Carlos
Vinetz, Joseph M.
author2_role author
author
author
dc.contributor.author.fl_str_mv Spichler, Anne Stambovsky
Athanazio, Daniel Abensur
Seguro, Antônio Carlos
Vinetz, Joseph M.
Spichler, Anne Stambovsky
Athanazio, Daniel Abensur
Seguro, Antônio Carlos
Vinetz, Joseph M.
dc.subject.por.fl_str_mv Leptospirosis
Follow-up
Acute disease
Chronic sequelae
topic Leptospirosis
Follow-up
Acute disease
Chronic sequelae
description Acesso restrito. Texto completo disponível no PORTAL de PERIÓDICOS da CAPES. p. 486–490.
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2012-01-31T15:57:54Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5285
dc.identifier.issn.none.fl_str_mv 1201-9712
dc.identifier.number.pt_BR.fl_str_mv v. 15, n. 7.
identifier_str_mv 1201-9712
v. 15, n. 7.
url http://www.repositorio.ufba.br/ri/handle/ri/5285
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1016/j.ijid.2011.03.020
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
instacron:UFBA
instname_str Universidade Federal da Bahia (UFBA)
instacron_str UFBA
institution UFBA
reponame_str Repositório Institucional da UFBA
collection Repositório Institucional da UFBA
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