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Disease Information for Leptospirosis Ictohemorrhagica: Clinical Manifestations

Signs & Symptoms: Paroxysmal Shivering; Rigors/Shaking chills; Teeth Chattering; Uncontrollable Shaking
: Breast milk Spread to Child
: Low Blood Pressure; Relative Bradycardia with Fever (Fagets sign); Signs of Poor Perfusion
: Bruising/Ecchymosis; Fever and Rash; Hemorrhagic rash; Petechiae/Petechial rash; Purpura; Rash; Yellow skin discoloration
: Excessive/easy bruising tendency
: Abdominal Pain; Coffee ground vomitus; Glove stool exam guaiac positive; Nausea; Steady abdominal pain; Vomiting
: Lymphadenopathy Systemic
: Choluria/Biluria/Bilirubin urine; Fever with Jaundice; Hepatosplenomegaly; Jaundice/Yellow skin and eyes; Liver/Hepatic symptoms and signs; Palpable Liver/Hepatomegaly; Tender liver/liver pain; Yellow eyeballs/Scleral icterus
: Muscle Pain; Myalgias; Tender or painful muscles/Myalgias
: Altered mental status Mental status change; Confusion/agitation on exam; Confusion/Disoriented; Headache; Headache in children; Headache, severe; Sudden unconsciousness
: Cough Acute; Hemoptysis
: Arthralgias Polyarthralgias; Joint Pains; Joint pains Arthralgias in Elderly
: Epistaxis, severe/persistent; Sore throat in Elderly; Sore throat/Pharyngitis; Sore Throat/Throat Pain; Throat Conditions
: Coca-Cola dark (coffee colored) urine; Dark urine; Oliguria/Decreased urine output
: Splenomegaly
: Acute sepsis syndrome; Acutely ill patient/signs; Chills; Collapse/Prostration; Constitutional symptoms; Debilitated; Enervated/extreme acute fatigue; Fever; Fever Febrile Possible; Fever in Immigrants; Fever in kids; Fever of unknown origin/chronic fever; Fever spikes/sweats,chills; Fever, high; Fever, intermittant/recurrent; Flu-Like Syndrome; High body temperature; Toxic and Febrile Septic
: Bloodshot eyes/Conjunctival injection; Ciliary injection/perilimbal (cicumcorneal); Red Eyes Bilateral; Scleral Injection
Typical Clinical Presentation: Presentation/Painless/jaundice
Clinical Presentation & Variations: Presentation/Fever Immigrant Recent Home country visit; Presentation/Fever recent Travel Long visit return
: Presentation/Fever Rash Prostration Abrupt
: Presentation/Hemorrhagic Jaundice Fever Confusion; Presentation/Liver Renal Hemolytic Febrile male
: Presentation/Charcot's Triad Rigor Jaundice RUQ pain; Presentation/Fever Jaundice Renal failure Adult male
: Fever and High Sed Rate
Disease Progression: Course/2 to 3 months; Course/Acute; Course/Acute only; Course/Acute stuttering course/remission/relapse 10 days; Course/Biphasic pattern/untreated; Course/Four to six week illness; Course/Lethal; Course/Lethal possible/not usual; Course/Potentially lethal/untreated; Course/Several months; Course/Severe illness; Course/Slow curve/Fast break over days; Course/Subacute; Incubation/10-12 days; Incubation/5-15 days; Incubation/Intermediate; Lethal Potential; Onset/Abrupt/Sudden

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