Leptospirosis
Conditions
Brief summary
The research hypothesis is based on a suspected strong involvement of the immune system in the genesis of serious manifestations of the disease (hepatitis, renal failure, thrombocytopenia, intra-alveolar hemorrhage). The question asked is that of the state of the immune system (quantitative and qualitative: activation markers, production of cytokines) evaluated by the study of circulating innate immune cells (monocytes, neutrophils, dendritic cells, lymphocytes, platelets).
Interventions
proportion of activated monocyte cells (CD14+CD16+ phenotype) within monocytes in the acute phase
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 4 years; * Weight ≥ 11 kg; * with ongoing symptoms compatible with a clinical diagnosis of leptospirosis. * AND having a diagnosis of leptospirosis confirmed according to standard care procedures: preferably by Polymerase Chain Reaction (PCR) (blood or urine) or, failing that, serology indicating a recent infection (positive Immunoglobulin M (IgM) or Microscopic Agglutination Test (MAT) technique with titer \>1/400 for a pathogenic serogroup) * AND affiliated to a Social Security scheme
Exclusion criteria
* Refusal of participation by the patient or his entourage if the patient is physically unable to give his opinion (coma, resuscitation, etc.). * Not affiliated with social security * Immunosuppression that may interfere with the interpretation of the results: chemotherapy in progress, immunosuppressants in progress for organ transplantation or autoimmune disease * Patient under legal protection (Guardianship, Curators)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proportion of activated monocyte cells (CD14+CD16+ phenotype) within monocytes | at inclusion |
Countries
Reunion