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[A case of leptospirosis infected in Borneo Island, Malaysia].
Kansenshogaku Zasshi. 2001 Dec; 75(12):1057-61.KZ

Abstract

We report a case of leptospirosis infected in Sabah, Borneo island, Malaysia. The case is 25-year-old male who had participated in the EcoChallenge Sabah 2000 Expedition Race, a multisport event held during August 20 to September 3, 2000 at various sites in Sabah in Malaysian Borneo. He developed a high fever and headache on September 7, and he was admitted to our hospital on September 9. On admission he also had conjunctivitis and myalgias. Laboratory findings on admission revealed leukocytosis with left shift, slightly elevated transaminase levels, high CRP levels and proteinuria. Plasmodium spp. were negative on blood smears, and no bacteria were isolated from blood and feces cultures. We performed the laboratory tests for leptospirosis, based on the information about the probable leptospirosis outbreak among athletes who participated in the EcoChallenge Race, however both Leptospira antigens and antibodies were negative at that time. We diagnosed leptospirosis clinically because he manifested persistent symptoms, and minocycline 100 mg b.i.d. was administered intravenously resulting in excellent efficacy. Serum antibody tests by microscopic agglutination test (MAT) at convalescent stage revealed significant increased antibodies against Leptospira interrogans serovar hebdomadis, and the diagnosis of leptospirosis was confirmed. Infectious diseases have been global and it is important to have information concerning worldwide infectious disease situations as much as possible for accurate diagnosis.

Authors+Show Affiliations

Department of Infectious Diseases, Yokohama Municipal Citizen's Hospital.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

11806141

Citation

Sakamoto, M, et al. "[A Case of Leptospirosis Infected in Borneo Island, Malaysia]." Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases, vol. 75, no. 12, 2001, pp. 1057-61.
Sakamoto M, Sagara H, Koizumi N, et al. [A case of leptospirosis infected in Borneo Island, Malaysia]. Kansenshogaku Zasshi. 2001;75(12):1057-61.
Sakamoto, M., Sagara, H., Koizumi, N., & Watanabe, H. (2001). [A case of leptospirosis infected in Borneo Island, Malaysia]. Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases, 75(12), 1057-61.
Sakamoto M, et al. [A Case of Leptospirosis Infected in Borneo Island, Malaysia]. Kansenshogaku Zasshi. 2001;75(12):1057-61. PubMed PMID: 11806141.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of leptospirosis infected in Borneo Island, Malaysia]. AU - Sakamoto,M, AU - Sagara,H, AU - Koizumi,N, AU - Watanabe,H, PY - 2002/1/25/pubmed PY - 2002/1/30/medline PY - 2002/1/25/entrez SP - 1057 EP - 61 JF - Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases JO - Kansenshogaku Zasshi VL - 75 IS - 12 N2 - We report a case of leptospirosis infected in Sabah, Borneo island, Malaysia. The case is 25-year-old male who had participated in the EcoChallenge Sabah 2000 Expedition Race, a multisport event held during August 20 to September 3, 2000 at various sites in Sabah in Malaysian Borneo. He developed a high fever and headache on September 7, and he was admitted to our hospital on September 9. On admission he also had conjunctivitis and myalgias. Laboratory findings on admission revealed leukocytosis with left shift, slightly elevated transaminase levels, high CRP levels and proteinuria. Plasmodium spp. were negative on blood smears, and no bacteria were isolated from blood and feces cultures. We performed the laboratory tests for leptospirosis, based on the information about the probable leptospirosis outbreak among athletes who participated in the EcoChallenge Race, however both Leptospira antigens and antibodies were negative at that time. We diagnosed leptospirosis clinically because he manifested persistent symptoms, and minocycline 100 mg b.i.d. was administered intravenously resulting in excellent efficacy. Serum antibody tests by microscopic agglutination test (MAT) at convalescent stage revealed significant increased antibodies against Leptospira interrogans serovar hebdomadis, and the diagnosis of leptospirosis was confirmed. Infectious diseases have been global and it is important to have information concerning worldwide infectious disease situations as much as possible for accurate diagnosis. SN - 0387-5911 UR - https://www.unboundmedicine.com/medline/citation/11806141/[A_case_of_leptospirosis_infected_in_Borneo_Island_Malaysia]_ L2 - http://www.diseaseinfosearch.org/result/4178 DB - PRIME DP - Unbound Medicine ER -
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