Neuroleptospirosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Neuroleptospirosis. Leptospirosis is caused by Leptospiral interrogans. Fully referenced neurology checklist.

Pathology

  • Leptospirosis is caused by Leptospiral interrogans
  • It is transmitted by urine of animals: especially rats and mice
  • It causes vasculitic and immune-mediated damage

Systemic features

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Cardiorespiratory features

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Gastrointestinal features

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Ophthalmic features

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Central neurological phenotypes

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Central neurological features

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Peripheral neurological phenotypes

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Other features

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Differential diagnosis

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Poor prognostic features

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Magnetic resonance imaging (MRI) brain: features

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Cerebrospinal fluid (CSF) analysis

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Other investigations

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Treatment

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References

  1. Mathew T, Satishchandra P, Mahadevan A, et al. Neuroleptospirosis - revisited: experience from a tertiary care neurological centre from south India. Indian J Med Res 2006; 124:155-162.
  2. Datta S, Sarkar RN, Biswas A, Mitra S. Leptospirosis: an institutional experience. J Indian Med Assoc 2011; 109:737-738.
  3. Panicker JN, Mammachan R, Jayakumar RV. Primary neuroleptospirosis. Postgrad Med J 2001; 77:589-590. 
  4. Courtin JP, Di Francia M, Du Couëdic I, et al. Respiratory manifestations of leptospirosis. A retrospective study of 91 cases (1978-1984). Rev Pneumol Clin 1998; 54:382-392.
  5. Abgueguen P, Delbos V, Blanvillain J, et al. Clinical aspects and prognostic factors of leptospirosis in adults. Retrospective study in France. J Infect 2008; 57:171-178. 
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