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Leptospirosis nervous system manifestations

Leptospirosis, abbreviated as leptospirosis, is an acute infectious disease caused by pathogenic Leptospira of various serotypes and a natural focus. Commonly known as "threshing yellow" or "rice blast". Its clinical features are high fever, general pain, fatigue, bulbar conjunctival membrane congestion, lymphadenopathy and obvious gastrocnemius muscle pain. Severe cases can be complicated with pulmonary hemorrhage, jaundice, meningoencephalitis and renal failure. Due to the vigorous prevention work, various leptospirosis manifested by massive pulmonary hemorrhage and liver and renal failure have been reduced, but cerebral arteritis and multiple radiculopathy after Leptospira infection are not uncommon. In severe cases, brain edema may occur, and brain hernia may lead to respiratory failure. The late-onset diseases of nervous system are more common. The early-stage late-onset diseases are mainly mononeuritis, multiple neuritis, radicitis and cerebral nerve paralysis, and the late complications are cerebrovascular diseases. The main clinical manifestation is ischemic cerebrovascular disease. Patients often have symptoms such as hemiplegia and aphasia 1 ~ 5 months after the disappearance of symptoms in the acute phase. One of its clinical characteristics is that they are repeated and changeable.


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