A Study of Liver Function Tests Derrangements in Leptospirosis
Keywords:
LFT, SGOT Level, SGPT Level, Leptospirosis, Duration of Hospital StayAbstract
Background- A zoonotic illness that is found all throughout the world is leptospirosis. For growth, leptospires need specific media and circumstances. Positive cultural shifts might occur over the course of weeks or months. Clinical, diagnostic, and epidemiologic objectives are best served by classifications based on serologic distinctions.
Objectives- Based on indications and symptoms, the study aims to determine the distribution of leptospirosis patients. Identifying the correlation between clinical factors at admission and six weeks later in leptospirosis patients is another goal.
Materials and Methods- The study was observational and prospective. The study was conducted in Burla, Sambalpur, Odisha, India, at the Veer Surendra Sai Institute of Medical Sciences and Research (VIMSAR). The research was conducted between February 2024 and January 2025. One hundred patients in all were enrolled in the trial.
Results- Signs and symptoms included tachycardia, icterus, conjunctival congestion, oliguria, hypotension, hepatomegaly, subconjunctival hemorrhage, fever, myalgia, headache, vomiting, abdominal pain, rashes, and arthralgia. All the 100 (100%) patients had fever along with myalgia. All the parameters including AST, ALT, total bilirubin, direct bilirubin, ALP, total protein, and albumin were found to be statistically significant at baseline and after 6 weeks.
Conclusion- The study came to the conclusion that elevated levels of bilirubin and transaminases were the primary way that the liver was involved in leptospirosis. Patients' bilirubin, AST, and ALT levels were much lower at 6 weeks than they were at admission.
References
Levett PN. Leptospirosis. Clin. Microbiol. 14 (2): 296-326 [Internet]. 2001
Dutta TK, Christopher M. Leptospirosis-an overview. JOURNAL-ASSOCIATION OF PHYSICIANS OF INDIA. 2005;53(N):545.
Rao RS, Gupta N, Bhalla P, Agarwal SK. Leptospirosis in India and the rest of the world. Brazilian Journal of Infectious Diseases. 2003;7:178-93.
Izurieta R, Galwankar S, Clem A. Leptospirosis: The “mysterious” mimic. Journal of emergencies, trauma, and shock. 2008 Jan 1;1(1):21-33.
Vijayachari P, Sugunan AP, Shriram AN. Leptospirosis: an emerging global public health problem. Journal of biosciences. 2008 Nov;33(4):557-69.
Sehgal SC. Leptospirosis on the horizon. The National medical journal of India. 2000;13(5):228-30.
Sethi S, Sharma N, Kakkar N, Taneja J, Chatterjee SS, Banga SS, Sharma M. Increasing trends of leptospirosis in northern India: a clinico-epidemiological study. PLoS neglected tropical diseases. 2010 Jan 12;4(1):e579.
Manocha H, Ghoshal U, Singh SK, Kishore J, Ayyagari A. Frequency of leptospirosis in patients of acute febrile illness in Uttar Pradesh. JAPI. 2004 Aug;52:623-5.
Gupta N, Rao RS, Bhalla P, Agarwal SK. Seroprevalence of leptospirosis in Delhi using indirect haemagglutination assay.
Rao RS, Gupta N, Bhalla P, Agarwal SK. Leptospirosis in India and the rest of the world. Brazilian Journal of Infectious Diseases. 2003;7:178-93.
Kasper D, Fauci A, Hauser S, Longo D, Jameson J, Loscalzo J. Harrison's principles of internal medicine, 19e. New York, NY, USA:: Mcgraw-hill; 2015.
V, Praveen & Kumar, Satish & Radhakrishnan, Sajithkumar. (2018). LIVER FUNCTION TEST ABNORMALITIES IN LEPTOSPIROSIS. Journal of Evidence Based Medicine and Healthcare. 4. 243-247. 10.18410/jebmh/2018/50.
Singh SS, Vijayachari P, Sinha A, Sugunan AP. Clinico-epidemiological study of hospitalized cases of severe leptospirosis. Indian Journal of Medical Research. 1999 Mar 1;109:94.
Mathur M, De A, Turbadkar D. Leptospirosis outbreak in 2005: LTMG hospital experience. Indian journal of medical microbiology. 2009 Apr 1;27(2):153-5.
Bhattacharjee K, Das D, Rabha P, Kalwar AK, Kar G, Bhattacharjee P. A Study on hematological profile in patients of chronic renal failure with special reference to serum iron profile. Journal of Evidence Based Medicine and Healthcare. 2015;2:8212-9.
Tantitanawat S, Tanjatham S. Prognostic factors associated with severe leptospirosis. Journal of the Medical Association of Thailand= Chotmaihet Thangphaet. 2003 Oct 1;86(10):925-31.
Zala DB, Khan V, Das VK. A study on few biochemical parameters of clinically suspected and laboratory confirmed Leptospirosis cases. J Appl Nat Sci. 2014 Jul 30;6:12-3.
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