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- Leptospirosis facts
- What is leptospirosis?
- What causes leptospirosis?
- Is leptospirosis contagious? What is the contagious period for leptospirosis?
- What is the incubation period for leptospirosis?
- What are risk factors for leptospirosis?
- What are leptospirosis symptoms and signs?
- What specialists treat leptospirosis?
- How do physicians diagnose leptospirosis?
- What is the treatment for leptospirosis?
- What is the prognosis of leptospirosis?
- Is a vaccine available for leptospirosis? Is it possible to prevent leptospirosis?
What is the treatment for leptospirosis?
Although there is controversy about using antibiotics in the first phase of leptospirosis, antibiotics (penicillin G, ampicillin [Omnipen, Polycillin, Principen], amoxicillin [Amoxil, Trimox, Moxatag, Larotid], or erythromycin [E-Mycin, Eryc, Ery-Tab, PCE, Pediazole, Ilosone]) are recommended for treatment of patients with phase two or more severe symptoms. Some patients may require IV antibiotics and supportive hospital care such as rehydration.
For those clinicians who choose to treat phase-one patients, the choice of antibiotics includes the above, but many choose to treat with doxycycline.
What is the prognosis of leptospirosis?
Overall, the prognosis of leptospirosis is good. Many people become infected and spontaneously recover without treatment. However, the prognosis worsens as the symptoms increase. People with Weil's disease may have a prognosis ranging from good to poor, depending on their response to treatment. Pregnant women who become infected have a high rate of fetal mortality, especially if they acquire the disease early in pregnancy.