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以往教科书中的钩端螺旋体病(以下简称钩体病)多为成人的职业接触所引起,且认为仅有出血黄疸型引起的钩体病最为严重。本文报告4例儿童钩体病,年龄自2至14岁不等,女性6例,男性3例。9例中仅有1例来自乡间。9例大多于春夏发病,其中6例有动物(狗)接触史。尿培养4例获阳性结果,5例尿液特殊萤光抗体技术测定证实有钩端螺旋体。7例的双份血清示抗体效价呈4倍以上的增高。9例的症状:胃纳
In the past textbooks leptospirosis (hereinafter referred to as leptospirosis) mostly caused by adult occupational exposure, and that only the bleeding jaundice caused by leptospirosis is the most serious. This article reports 4 cases of leptospirosis in children, ranging in age from 2 to 14 years old, 6 females and 3 males. Only one of nine cases came from the country. Most of the 9 cases occurred in spring and summer, of which 6 cases had animal (dog) history of exposure. Urine culture in 4 cases were positive results, 5 cases of urine specific fluorescent antibody technology confirmed that there is Leptospira. Seven cases of double serum antibody titer showed more than 4 times higher. 9 cases of symptoms: appendix