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The authors figured that intravenous therapy was not indicated for post-Lyme disease fatigue symptoms. 10% won't even obtain the bumpy rash that is referred to as the maculopapular rash. Leptospirosis is often a biphasic disease that begins with flu-like symptoms (fever, chills, myalgias, intense headache). Diagnosis may be confirmed early by identifying Leptospira in cultures of blood, urine or cerebrospinal fluid samples. Antibiotic treatment therapy is usally at the very least two weeks, based on the severity in the symptoms, along with the disease suspected. As far as possible, use protection while sporting sex because it could act being a barrier and prevent transmission of sexual infections. The rat population in Manila has grown through the progression of such storms, an epidemic that is adding towards the outbreak of Leptosphirosis. Younger animals tend to be seriously affected than older animals. 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