의학논평 : 1986 년 춘천지역에서 균주 배양 , 분리로 확진된 렙토스피라병 13 예 = The 13 Cases of Confirmed Leptospirosis in Chun Cheon Area , by the Culture and Isolation of Leptospira , in 1986

다국어 초록 (Multilingual Abstract)

We studied the clinical features of 13 patients of confirmed leptospirosis who had been admitted to the Chun Cheon Sacred Heart Hospital, Hallym University, from the end of October to the end of December of 1986. The results were as follows: 1) Most patients were farmers, some were not farmers but living in rural area, and the other patients were living in the city who were exposed to rural environment except one diabetic patient. 2) Blood cultures revealed positive results in all cases, and there was one positive finding on the spinal culture study. 3) At the time of admission, the microscopic agglutination test showed positive result in only 3 cases, and their titers were relatively low. 4) Classifying them with their clinical features, hepatitis type which was the most common was 76.9%, nephritis type was 30.7%, pulmonary type was 23.1%, influenza type was 23.1% and meningitis type was 15.4 %, and these showed mixed pattern which had been overlapped to each other, 5) The ninty percent of hepatitis type were anicteric. 6) The prognosis was excellent and the clinical symptoms and signs were improved with normalization of the laboratory data. In this study, we concluded that hepatitis type was dominant, and this result was quiet different from other domestic reports. The difference in the serovar or geographic character could be responsible for this unique feature. So, we suggest that the study on the serovar of Leptospira should be carried out in detail and the different clinical features according to the geographic distribution of patients should be surveyed more extensively.