A Case Study on Leptospirosis

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  • Topic: Leptospirosis, Leptospira, Myalgia
  • Pages : 7 (1743 words )
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  • Published : March 11, 2013
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Our Lady of Fatima University
College of Nursing
Fairview, Quezon City

A Case Study on
Leptospirosis

In Partial Fulfilment
Of the Requirement in
Out Patient Department
Related Learning Experience

Table of Contents
Case Summary………………………………………………………...............…..……...4 I. Introduction……………………………………………………..........……......5 II. Patient’s Profile……………………………………….............….……………7 III. Pathophysiology………………………………………...........………………..8 IV. Nursing Care Plan…………………………..................................……….10 * Nursing Physical Assessment.................................................10 * Related Treatments................................................................10 * Nursing Care Goal.................................................................10 * Nursing Diagnosis.................................................................11 * Nursing Intervention.............................................................12 IV. Drug Study……………………………………………………..........……….14 VI. Evaluation.....................................................................................13 VII. Recommendation...........................................................................13

Case Summary
Leptospirosis is caused by infection of the bacteira genus Leptospira, and affects humans as well as other mammals, birds, amphibians, and reptiles. A patient is suspected to acquire leptospirosis when experiencing symptoms for about 1-2 weeks after exposure to the urine of the carrier animals. In this case, Ms. Angeline Dara Damaderio has experienced it. She is 11 years old, a resident of Blk. 4 Lot. 7 Phase 4Tayuman, Manila. She experienced fever for 2 days with headaches and muscle pain. She also has a body temperature of 39 degrees centigrade and a pulse rate of 115 bpm.

Last August 8, 2011 Monday, she went to the Out Patient Department of OSSAM with her father for a check-up. We met her there and we took some information about her. Based on our assessment, she appeared weak.

We chose her as the subject of our case study because we want to know more about Leptospirosis and why is it harmful and may lead to the death of a patient.

Introduction
Leptospirosis (also known as Weil's syndrome, canicola fever, canefield fever, `nanukayami fever, 7-day fever, Rat Catcher's Yellows, Fort Bragg fever, black jaundice and Pretibial fever) is caused by infection of the bacteira genus Leptospira, and affects humans as well as other mammals, birds, amphibians, and reptiles. An infectious disease caused by a particular type of bacteria called a spirochete transmitted by rats as well as by skunks, opossums, raccoons, foxes, and other vermin. Leptospirosis occurs worldwide but is most commonly acquired in the tropics. About 100 cases of leptospirosis are reported each year in the US. The disease is becoming a greater risk as more people travel to undeveloped areas of the world. Symptoms begin from 2 to 25 days after, initial direct exposure to the urine or tissue of an infected animal. This can even occur via contaminated soil or water. Veterinarians and farm workers are at particularly high risk. The illness typically progresses through three phases. The first phase of symptoms includes headaches, muscle aches, eye pain with bright lights, followed by chills and fever. Watering and redness of the eyes occur and symptoms seem to improve by day 5 to 9. The second phase of illness begins after a few days of feeling pretty well. The initial symptoms recur with fever and aching with stiffness of the neck. Some patients develop serious inflammation of the nerve to the eye, brain, spinal column (meningitis), or other nerves. The final third phase, from 2 to 4 weeks after the initial infection, features recurrent fever and muscle aching. Leptospirosis with liver disease is called Weil's syndrome and is characterized by yellowing of the eyes (jaundice) from liver disease. Patients with Weil's...
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