questionsmedicales.fr
Infection
Infections bactériennes et mycoses
Infections bactériennes
Infections bactériennes à Gram négatif
Infections à Spirochaetales
Leptospirose
Leptospirose : Questions médicales fréquentes
Diagnostic
5
Leptospirose
Diagnostic médical
Tests diagnostiques
Leptospirose
Tests sanguins
Leptospirose
Symptômes
5
Leptospirose
Douleurs abdominales
Leptospirose
Temps d'incubation
Leptospirose
Complications
Leptospirose
Symptômes respiratoires
Prévention
5
Leptospirose
Activités à risque
Leptospirose
Animaux de compagnie
Traitements
5
Leptospirose
Antibiotiques
Leptospirose
Efficacité des médicaments
Leptospirose
Hospitalisation
Leptospirose
Traitements alternatifs
Leptospirose
Durée du traitement
Complications
5
Leptospirose
Complications
Leptospirose
Prévention des complications
Leptospirose
Fréquence des complications
Facteurs de risque
5
Leptospirose
Facteurs de risque
Leptospirose
Travailleurs agricoles
Leptospirose
Immunodépression
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{
"@type": "Question",
"name": "Les symptômes apparaissent-ils rapidement ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes peuvent apparaître 5 à 14 jours après l'exposition à la bactérie."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes graves ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des complications comme la jaunisse et l'insuffisance rénale peuvent survenir."
}
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{
"@type": "Question",
"name": "La leptospirose provoque-t-elle de la toux ?",
"position": 10,
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{
"@type": "Question",
"name": "Comment prévenir la leptospirose ?",
"position": 11,
"acceptedAnswer": {
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"text": "Évitez l'exposition à l'eau contaminée et portez des vêtements de protection."
}
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{
"@type": "Question",
"name": "Les vaccins existent-ils pour la leptospirose ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des vaccins sont disponibles pour les animaux, mais pas pour les humains."
}
},
{
"@type": "Question",
"name": "Faut-il éviter certaines activités ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, évitez la baignade dans des eaux stagnantes, surtout après des inondations."
}
},
{
"@type": "Question",
"name": "Comment gérer les animaux de compagnie ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Vaccinez vos animaux de compagnie et évitez leur contact avec des eaux potentiellement contaminées."
}
},
{
"@type": "Question",
"name": "Les mesures d'hygiène aident-elles ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, maintenir une bonne hygiène et désinfecter les surfaces peut réduire le risque."
}
},
{
"@type": "Question",
"name": "Quel est le traitement de la leptospirose ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal est l'administration d'antibiotiques comme la doxycycline."
}
},
{
"@type": "Question",
"name": "Les antibiotiques sont-ils efficaces ?",
"position": 17,
"acceptedAnswer": {
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"text": "Oui, les antibiotiques sont très efficaces s'ils sont administrés tôt dans l'infection."
}
},
{
"@type": "Question",
"name": "Faut-il hospitaliser un patient ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'hospitalisation peut être nécessaire pour les cas graves nécessitant des soins intensifs."
}
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{
"@type": "Question",
"name": "Y a-t-il des traitements alternatifs ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements alternatifs ne sont pas recommandés; les antibiotiques sont essentiels."
}
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{
"@type": "Question",
"name": "Combien de temps dure le traitement ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement antibiotique dure généralement de 5 à 7 jours selon la gravité de l'infection."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications de la leptospirose ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'insuffisance rénale, la jaunisse et des hémorragies."
}
},
{
"@type": "Question",
"name": "La leptospirose peut-elle être mortelle ?",
"position": 22,
"acceptedAnswer": {
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"text": "Oui, dans les cas graves, la leptospirose peut entraîner la mort sans traitement approprié."
}
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{
"@type": "Question",
"name": "Comment prévenir les complications ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un diagnostic précoce et un traitement rapide sont essentiels pour prévenir les complications."
}
},
{
"@type": "Question",
"name": "Les complications surviennent-elles souvent ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications surviennent dans environ 10% des cas, surtout sans traitement."
}
},
{
"@type": "Question",
"name": "Y a-t-il des séquelles après la maladie ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines personnes peuvent avoir des séquelles, comme des douleurs articulaires persistantes."
}
},
{
"@type": "Question",
"name": "Qui est à risque de leptospirose ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes travaillant en milieu rural ou en contact avec des animaux sont à risque."
}
},
{
"@type": "Question",
"name": "Les randonneurs sont-ils à risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les randonneurs peuvent être exposés à des eaux contaminées lors de leurs activités."
}
},
{
"@type": "Question",
"name": "Les enfants sont-ils plus vulnérables ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les enfants peuvent être plus vulnérables en raison de leur comportement exploratoire."
}
},
{
"@type": "Question",
"name": "Les travailleurs agricoles sont-ils à risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les travailleurs agricoles sont souvent exposés à des conditions favorables à la leptospirose."
}
},
{
"@type": "Question",
"name": "Les personnes immunodéprimées sont-elles plus à risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes immunodéprimées courent un risque accru de développer des formes graves."
}
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}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 11/04/2025
Contenu vérifié selon les dernières recommandations médicales
2 publications dans cette catégorie
Affiliations :
Department of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan. nkoizumi@niid.go.jp.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
Department of Preventive Medicine and Biometrics, Uniformed Services University, Bethesda, Maryland, USA.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
Molecular Epidemiology and Public Health Laboratory, Tāwharau Ora - School of Veterinary Science, Massey University, Palmerston North; Global Leptospirosis Environmental Action Network, World Health Organization, Geneva, Switzerland.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
Molecular Epidemiology and Public Health Laboratory, Tāwharau Ora - School of Veterinary Science, Massey University, Palmerston North, New Zealand.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
1Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM U 1187, CNRS 9192, IRD 249, Plateforme de Recherche CYROI, Sainte Clotilde, France.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
Microbiology/Virology Laboratory, CHU La Réunion site Félix Guyon, St Denis, La Réunion, France.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
Infectious Disease Research Centre, Bacteriology Unit, Institute for Medical Research, Ministry of Health Malaysia, Kuala Lumpur, Malaysia.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
Leptospirosis Laboratory, Veterinary Campus of Lyon, Marcy l'Etoile, France.
Publications dans "Leptospirose" :
2 publications dans cette catégorie
Affiliations :
French Military Health Service, Animal Epidemiology Working Group, Marseille, France.
IHU Méditerranée Infection, Marseille, France.
Aix Marseille University, IRD, APHM, MEPHI, IHU Méditerranée Infection, Marseille, France.
Publications dans "Leptospirose" :
1 publication dans cette catégorie
Publications dans "Leptospirose" :
1 publication dans cette catégorie
Publications dans "Leptospirose" :
1 publication dans cette catégorie
Affiliations :
1 University of Alabama at Birmingham.
Publications dans "Leptospirose" :
1 publication dans cette catégorie
Affiliations :
Department of Infectious Diseases, General Hospital "Dr. Tomislav Bardek", Željka Selingera 1, Koprivnica, Croatia.
Publications dans "Leptospirose" :
1 publication dans cette catégorie
Affiliations :
Faculty of Medicine, Institute of Microbiology and Immunology, University of Ljubljana, Zaloška 4, Ljubljana, Slovenia.
Publications dans "Leptospirose" :
Leptospirosis is a disease transmitted from animals to humans through water, soil, or food contaminated with the urine of infected animals, caused by pathogenic Leptospira species. Antibiotics are com...
To evaluate the benefits and harms of antibiotics versus placebo, no intervention, or another antibiotic for the treatment of people with leptospirosis....
We identified randomised clinical trials following standard Cochrane procedures. The date of the last search was 27 March 2023....
We searched for randomised clinical trials of various designs that examined the use of antibiotics for treating leptospirosis. We did not impose any restrictions based on the age, sex, occupation, or ...
During the preparation of this review, we adhered to the Cochrane methodology and used Review Manager. The primary outcomes were all-cause mortality and serious adverse events (nosocomial infection). ...
We identified nine randomised clinical trials comprising 1019 participants. Seven trials compared two intervention groups and two trials compared three intervention groups. Amongst the trials comparin...
As the certainty of evidence is very low, we do not know if antibiotics provide little to no effect on all-cause mortality, serious adverse events, or adverse events considered non-serious. There is a...
Leptospirosis is a global zoonotic and waterborne disease caused by pathogenic Leptospira species. Antibiotics are used as a strategy for prevention of leptospirosis, in particular in travellers and h...
To evaluate the benefits and harms of antibiotic prophylaxis for human leptospirosis....
We identified randomised clinical trials through electronic searches of the Cochrane Hepato-Biliary Group Controlled Trials Register, CENTRAL, MEDLINE, Embase, LILACS, Science Citation Index Expanded,...
We included randomised clinical trials of any trial design, assessing antibiotics for prevention of leptospirosis, and with no restrictions on age, sex, occupation, or comorbidity of trial participa...
We followed Cochrane methodology. The primary outcomes were all-cause mortality, laboratory-confirmed leptospirosis regardless of the presence of an identified clinical syndrome (inclusive of asymptom...
We identified five randomised clinical trials comprising 2593 participants that compared antibiotics (doxycycline, azithromycin, or penicillin) with placebo, or one antibiotic compared with another. F...
We do not know if antibiotics versus placebo or another antibiotic has little or have no effect on all-cause mortality or leptospirosis infection because the certainty of evidence is low or very low. ...
This pilot study describes the experiences of six people who reported post-leptospirosis symptoms. Our aim was to perform an exploratory qualitative study to document participants' experiences and to ...
Participants self-recruited, meaning they had directly contacted the first author prior to the study commencing and had offered to tell their stories. Face-to-face semi-structured interviews were cond...
The participants were male, had been employed in livestock slaughter plants (n=2) or farming (n=4) when they first contracted leptospirosis and claimed they had been suffering from post-leptospirosis ...
Leptospirosis may have severe long-term consequences for patients, their families and their communities. We recommend that the aetiology, pathogenesis and burden of the persistence of leptospirosis sy...
We present the case of a young female landscaper who presented to an Australian tertiary hospital with persistent fevers and new pancytopenia. Extensive initial workup for her presenting illness did n...
We present the case of a man in his early 50s who presented with a history of fever, malaise and jaundice. Initial investigations showed liver and renal dysfunction with no discernible cause for the s...
Both dengue and Leptospira infections are endemic to tropical and subtropical regions, with their prevalence increasing in recent decades. Coinfection with these pathogens presents significant diagnos...
We present the clinical scenarios of two Bangladeshi males, aged 25 and 35 years, who were admitted to our hospital with acute febrile illness. The first patient exhibited hepatic and renal involvemen...
These case scenarios underscore the critical importance for clinicians in regions where dengue and Leptospira are endemic to consider both diseases when evaluating patients presenting with acute febri...
A high incidence of human leptospirosis is recorded on Mayotte, an oceanic island located in southwestern Indian Ocean, but the severity of the disease appears relatively mild in terms of mortality ra...
Clinical and biological data of patients admitted to the Centre Hospitalier de Mayotte were collected and the infecting...
The distribution of...
Leptospirosis is a zoonotic infection that can present with neurological manifestations. Although uncommon, it may affect the peripheral nervous system in the form of polyradiculoneuropathy. We report...
Leptospirosis is typically a self-limited febrile illness; when it occurs, meningitis usually develops early in the course. Here, we describe a patient who had engaged in freshwater activities in Kaua...
Leptospirosis, an endemic zoonotic disease caused by Leptospira, is frequently seen in tropical regions and areas with low socioeconomic status. The disease can present a range of symptoms from mild t...