Leptospirosis

ChesterP

Well-Known Member
We hear a lot about Lyme's Disease on SD but not much at all on Leptospirosis.

I bring this up as I am only just starting to recover from the first fever stage of the more serious Weil's disease (Leptospirosis describes the bacteriological infection which in symptoms can vary from none at all to light fever and cramps. Weil's is a more serious form which hits the liver, kidneys and can result in Meningitis and can also prove to be fatal if not treated on time. It is also characterised by an enduring and high fever).

Whilst I have posted on one or two threads from my sick bed over the past few weeks, nothing prepared me for the intensity or seriousness of coming down with this illness which has left me requiring ongoing screening, blood tests and treatment for the foreseeable. Ironically, whilst out and about, it wasn't the tick that proved to be my undoing, but field mice. I had been under canvass in Exmoor and meeting with the landowner to discuss future shooting (Red Deer) and had managed to pick up a few scratches whilst gathering firewood. Mice had got into the tent and were at my food supplies, as evidenced by their droppings next day, not to mention me catching one of the little blighters red-tailed! Whilst cleaning up, I may have inadvertently rubbed my arms in response to midge bites and foolishly had not covered my scratches. I took ill pretty swiftly and on return home thought I was going down with flu.

The week that followed, much of which I cannot remember, was a week from hell. No sleep at all, a very high fever for 5 days (38 to 40 degrees), loss of balance the once or twice i did get up, sickness, very intense abdominal pain 24/7, bad headaches...well you get the picture. Emergency services were called when I took a rapid downturn and the attending GP and paramedics spent several hours with me, taking bloods, monitoring vitals, checking symptoms and trying to stabilise me before making any decision to hospitalise me. The bloods came back overnight, and inflammatory markers were found, as were protein in urine samples, all of which pointed towards Weil's Disease, later confirmed. As I was so poorly, they administered emergency meds there and then in the form of Doxycyclene, and I needed electrolytes due to low blood salt/sugars and rapid response teams came out for several days to monitor my condition. Thankfully, I have pulled through a very nasty phase although I'm told that I have slightly impaired liver function and kidneys were affected, something which may have been avoided had I had earlier diagnosis....my own silly fault for being a typical male and refusing to see the doctor early on.

The nasty thing with this is that in many cases, whilst one recovers from the fever stage, a week or so later, a rapid deterioration can occur and meningitis can take hold, that or kidney and liver failure if Doxycyclene or Amoxillin has not already been administered earlier on.

Whilst not out of the woods yet, I feel fortunate for such fantastic medical treatment and attention and am lucky that I got it when I did, especially given that it was later confirmed as Weils.

Be careful folks, maybe only 40 or so cases are reported a year, but of those, most years, several prove to be fatal. I will never again be so blase about cuts and scratches, and will take far more care with good hygiene in the field.

Remember, it's not just the ticks we have to worry about. Weils can be carried in the urine of all rodents, and dogs as well as some other animals, and you are at increased risk near fresh-water sources, where rodents can breed and are often close to. Treat any scratches you have and preferably cover up first before crawling through long grass and always carry something to clean you hands with before eating. I would not like to think of any other SD members having to suffer what I've had to endure this past few weeks.

Paul.
 
Thanks Paul. Sounds like you have been through the wringer. Wish you well for a full and fast recovery and thank you for the heads up. I am certainly pretty blasé about minor cuts and scratches. I might be a bit more careful in the future.
 
It's posts like this that make me want to stay in bed. Lymes and all associated things scares the cack out of me. If I come down with a sniff I'll be straight into the doctor and tell him I have it.
Glad your recovering and a good warning to all.
 
A salutory lesson for us all Paul, and wishing you a speedy recovery. Brings it home that it is not only anglers or others involved in water sports that can contract this nasty and debilitating disease. This season when my poults were changing from pellets to wheat we had a ton plus of good wheat from last year ready and waiting. Whilst most of it was bagged up a couple of hundred weight in a large fertiliser sack was moved to another barn, left on the floor and rodents got into it. The boss asked my to bag it. I refused, it was too heavily contaminated with rodent droppings and urine, stank to high heaven. Ended up on the fire pit treated with a litre of diesel.
 
Paul,

I am sorry that you have had such a tough time but pleased to hear that you are on the mend. You have certainly made me think about how careless I can be with such things. Thank you for sharing your experience.

Kind regards,

Carl
 
Hi Paul hope you fully recover have worked on building sites and civics jobs all my life wiells is a killer it's the little wet patches that carry it not big expanses of water rodents peeping in standing water then the likes of ourselves getting in on our hands shoes ect .and into little cuts our people who smoke can get it that way .you have to be careful . Speedy recovery paul
Atb tom
 
Cripes Paul that's a real fight for sure. Glad to hear you are on the mend.

One of the areas I stalk for CWD, the farmer there caught Wells disease. Apparently through outing his hand in a bucket of Pheasant feed that a rat may have ****ed in and having a cut on his hand caught wells disease. He was really ill with it and ended up in a London hospital and nearly died. He is now back to full health but it just goes to show how careful one needs to be at times.

Hope your health is now back to 100%
 
Hello Paul, many thanks for sharing this horrendous experience with us all. Reading your account of events scared the pants off me!!, and that is no exaggeration. As all who have contributed to this thread so far have said we are pleased to hear you are on the mend. Again well done for sharing this with us, and a salutory lesson to learn

Very kind wishes for your full recovery

Patrick
 
Chester - good to hear you on the road to recovery. Weils makes Lymes look like a common cold. Olympic gold medalist oarsman, Andy Holmes died from it - picked it up whilst coaching rowing crews with no specific contact with rats and mice. He won his gold with Sir Steve Redgrave's first.
 
Thanks so much for posting Paul. That really is a serious issue, especially amongst those of us for whom cuts & scratches on hands & arms are overlooked as being simply 'par for the course'. No longer!

I wish you a speedy and full recovery.

Jerry
 
Get well soon mate, I recently started workinging back on tankers, moving sewage about, last time I worked for the WWA in the 8o's, I was sent for jabs to give some cover against the Heps & Lepto, this last period I just started, "Ah we don't bother with jabs anymore" :shock: :shock:, Another source can be those beer bottles & cans etc people sup from after they have been in pub / clubs backyard.
 
Thanks so much for the post Paul, I wish and pray for your full recovery from this disease. We must all be very careful whilst working or stalking in every situation where we encounter wildlife, particularly in overseas environments.
The one thing I cannot understand is that as a youngster we knew nothing about this problem and happily killed and handled many rats around the farms. We then ate our sandwiches without washing hands. When I think of threshing time, handling sheaves which must have been soaked in rat **** and the scratches we suffered whilst doing it, it's quite amazing that most of us are still alive and approaching our 80's. Were we more resistant in the 50's or was the disease not so prevalent ? The same applied with Tetanus, our area was heaving with it, but we all suffered many cuts and got dirt in them, yet never caught it. Maybe my mother's standard treatment of very painful, strong peroxide on all wounds killed every known bug.
 
Thanks for posting that Paul, you have been through the mill. We can become too complacent in our outdoor pursuits. I hope your recovery is well on its way.. john
 
Thanks for making more people aware Paul, I got diagnosed with it a few years ago working on a fish farm with a rat infestation. Thankfully I new I didn't feel well so went straight to docs that same day and they got me on a few tablets and anti biotics before it got serious! Glad your ok fella
 
Wishing you a speedy recovery Paul....keep us posted

Now with small cuts in mind ..... what's the accepted or advised treatment ...so folks can learn ....or at least if we put info out. There then people have no excuse

Antibacterial wipes then like a sudocream & plaster?
Or anybody got anything practical / good......
Plasters often come off when you recommence what you were doing .....I prefer micro pore tape


Paul
 
Thank you all for your kind wishes fellas. I don't (hopefully) anticipate any longer term effects but await the results of further blood tests to see what the residual effect has been on kidneys and liver.

I think that the simplest way in the field is to use an antiseptic cream (or sudocrem) on old wounds as a barrier (it also seems sensible to carry a small tube with you in your stalking kit) and to cover scratches with a waterproof breathable dressing. Wearing long sleeves is also wise. I usually carry wipes in my stalking bag along with an alcoholic gel for hand sterilising. I've managed to go 50 years without ever contracting anything like this but once bitten...

It's been several weeks now and not yet well enough to go back out stalking but at least that'll come in a few more weeks, so could have been much worse. I know that Lymes can be debilitating for years, so I count my lucky stars. The ferocity of full blown Weils is not a pleasant experience to the system though by any standards.

Whilst there's undoubtedly a big element of bad luck in this tale, it still serves to show that any of us are at risk of picking this foul illness up. All it takes is for one infected rodent or other carrying animal to cross our paths (their urine, more specifically). I live next to a stream, and have seen the occasional rat on the banks, so even cutting the grass, I'll be more circumspect in future. If this awareness can prevent even one more person picking this up, then it will have been a worthwhile exercise sharing this.
 
I went through the same when I was 18, lost 6 and a half stone of my then 15 in 3 months. But there is good news despite the stringent symptoms no long term effects apart from avoiding too much double cream. First things I ate were lemons which are sweet when you have had zero food for 3 months. My lack of hygiene was eating sandwiches for lunch without bothering to wash my hands after riddling barn stored potatoes all morning. Now I do a fair bit of molecatching and am considerably more careful.

Thoughts are with you for your recovery which will be slow but sure.
 
Hope you are feeling better soon and thanks for posting. As you have pointed out something that is probably overlooked (by me anyway). A good lesson about hygiene whilst out stalking - it might not be just an upset stomach.
 
It is always incredibly useful ( I think anyway ) to highlight such instances. Not advocating being risk averse outdoors, but certainly be risk aware.

Its all too easy to forget basics - and I speak with the authority of a catalogue of goofs. I appreciate not really the case here as I suspect very few of us would have given the circumstances a second thought.

So thank you for sharing and can I too add to those wishing you a speedy recovery.
 
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