Answer BOF 39

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BOF 39
Leptospirosis, all are true except:
1-the occupation or the hobby of the patient is important
2-the early phase is due to leptospiraemia and hence the blood culture here has high positive results
3-hemorraigc manifestations are common
4-the second phase is an immune mediated one
5-there is peripheral blood lymphocytosis and CSF lymphocytic pleocytosis

Answer 5
1-true…like sewage workers
2-true……urine culture becomes gradually positive in the second phase
3-true…and may cause significant morbidity and mortality
4-true…
5-there is blood neutrophil leucocytosis which is very important in differentiating leptospirosis from severe viral hepatitis infections

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