Clinical features

• incubation period 3-20 days (average 10)

• severe headache

• macular rash: conjunctivitis

Some may develop the immune phase (after an asymptomatic period of 1-3 days) with aseptic meningitis or jaundice and nephritis (icterohaemorrhagic fever, Weil's disease) with a significant mortality.

Diagnosis

• high or rising titre of antibodies: can be cultured

Treatment 10

• doxycycline 100 mg (o) bd for 5-7 days or benzylpenicillin 900 mg IV, 6 hourly for 5-7 days

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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