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afya
Leptospirosis
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Weil's disease (term used if more severe - usually with jaundice) - note if hepatorenal failure commonly seen in sewage workers, farmers, vets or people who work in abattoir caused by spirochaete Leptospira interrogans (serogroup L icterohaemorrhagiae) classically spread by infected rat urine ''Features'' (4f's 2h's) fever flu-like symptoms renal failure (seen in 50% of patients) jaundice subconjunctival haemorrhage headache, may herald the onset of meningitis ''Management'' high-dose benzylpenicillin or doxycycline
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