A Case Study on Leptospirosis

1749 Words Mar 17th, 2013 7 Pages
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
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X Address: Tayuman, Manila Sex: Female Civil Status: Single Religion: Roman Catholic Date of Birth: April 19 2000 Age: 11 Birthplace: Tayuman Nationality: Filipino A. Chief Complaint
Fever for 2 days with muscle pain B. Present History of Illness
Leptospirosis
C. Past History of Illness
Elevated Body Temperature D. Family History of Illness
Hypertension
Vital Signs: BP: 110/70 mmHg RR: 19 cpm PR: 115 bpm Temp: 39 Degree Celsius Diagnosis: Elevated Body Temperature with Muscle Pain

Pathophysiology of Leptospirosis The leptospires are thin, coiled, gram-negative, aerobic organisms 6-20 µm in length. They are motile, with hooked ends and paired axial flagella (one on each end), enabling them to burrow into tissue. Motion is marked by continual spinning on the long axis. Current studies identify at least 7 pathogenic species of leptospires. However, organisms that are identical serologically may be different genetically, and organisms with the same genetic makeup may differ serologically.
Although not fully understood, leptospires are believed to enter the host through abrasions in healthy skin, through sodden and waterlogged skin, directly through intact mucus membranes or conjunctiva, through the nasal mucosa and cribriform plate, through the lungs (after inhalation of aerosolized body fluid), or through the placenta during pregnancy. Virulent organisms in a susceptible host gain rapid access to the bloodstream through the

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