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Leptospirosis - Treatment

Nombres alternativos

Enfermedad de Weil; Fiebre icterohemorrágica; Enfermedad de las porquerizas; Fiebre de los arrozales; Fiebre de los cortadores de caña; Fiebre de los pantanos; Fiebre del fango; Ictericia hemorrágica; Enfermedad de Stuttgart; Fiebre por Leptospira canicola

Tratamiento:

Los medicamentos para tratar la leptospirosis abarcan:

Ampicilina
Ceftriaxona
Doxiciclina
Penicilina

Los casos complicados o serios pueden necesitar tratamiento complementario o tratamiento en una unidad de cuidados intensivos (UCI) de un hospital.

Expectativas (pronóstico):

El pronóstico generalmente es bueno. Sin embargo, un caso complicado puede ser potencialmente mortal si no se trata de manera oportuna.

Complicaciones:

Reacción Jarisch-Herxheimer cuando se administra penicilina
Meningitis
Sangrado severo

Situaciones que requieren asistencia médica:

Consulte con el médico si tiene algún síntoma o factores de riesgo para la leptospirosis.

Anticuerpos

Reviewed last on: 8/14/2010
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Ko AI. Leptospirosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 344.

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