Pathophysiology:
Age, Sex, Geographic, Season
Leptospire
from infected animals
Direct invasion of tissue on susceptible host; induced endotoxins,hemolysin & lipase
capillary vasculitis
endothelial edema, necrosis, lymphocytic infiltration
loss of RBC & fluid via enlarged conjunction & fenestrae
CBC PT Petechiae, intraparenchy mal bleeding, bleeding along serosa & mucosa; thrombocytope nia Jaundice, vascular congestion & disorganizati on of liver cell plates Alveolar capillary
x-ray
urinalysis
ECG
Tubular necrosis, interstitial nephritis
Cardiac lesions, epicardial & endocardial petechiae, myocardial interstitial edema, coronary arteritis
Hemorrhage, focal necrosis, infiltration within the adrenal gland
injury (focal/ diffuse), interstitial & intraalveolar edema & bleeding, frank hemorrhage