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Outbreak of leptospirosis among triathlon participants and community residents in Springfield, Illinois, 1998.
Clin Infect Dis. 2002 Jun 15; 34(12):1593-9.CI

Abstract

We investigated an outbreak of leptospirosis among athletes and community residents after a triathlon was held in Springfield, Illinois. A telephone survey was conducted to collect clinical information and data on possible risk factors, community surveillance was established, and animal specimens and lake water samples were collected to determine the source of the leptospiral contamination. A total of 834 of 876 triathletes were contacted; 98 (12%) reported being ill. Serum samples obtained from 474 athletes were tested; 52 of these samples (11%) tested positive for leptospirosis. Fourteen (6%) of 248 symptomatic community residents tested positive for leptospirosis. Heavy rains that preceded the triathlon are likely to have increased leptospiral contamination of Lake Springfield. Among athletes, ingestion of 1 or more swallows of lake water was a predominant risk factor for illness. This is the largest outbreak of leptospirosis that has been reported in the United States. Health care providers and occupational and recreational users of bodies of freshwater in the United States should be aware of the risk of contracting leptospirosis, particularly after heavy rains.

Authors+Show Affiliations

Meningitis and Special Pathogens Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, 30333, USA. jtm7@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12032894

Citation

Morgan, Juliette, et al. "Outbreak of Leptospirosis Among Triathlon Participants and Community Residents in Springfield, Illinois, 1998." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 34, no. 12, 2002, pp. 1593-9.
Morgan J, Bornstein SL, Karpati AM, et al. Outbreak of leptospirosis among triathlon participants and community residents in Springfield, Illinois, 1998. Clin Infect Dis. 2002;34(12):1593-9.
Morgan, J., Bornstein, S. L., Karpati, A. M., Bruce, M., Bolin, C. A., Austin, C. C., Woods, C. W., Lingappa, J., Langkop, C., Davis, B., Graham, D. R., Proctor, M., Ashford, D. A., Bajani, M., Bragg, S. L., Shutt, K., Perkins, B. A., & Tappero, J. W. (2002). Outbreak of leptospirosis among triathlon participants and community residents in Springfield, Illinois, 1998. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 34(12), 1593-9.
Morgan J, et al. Outbreak of Leptospirosis Among Triathlon Participants and Community Residents in Springfield, Illinois, 1998. Clin Infect Dis. 2002 Jun 15;34(12):1593-9. PubMed PMID: 12032894.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outbreak of leptospirosis among triathlon participants and community residents in Springfield, Illinois, 1998. AU - Morgan,Juliette, AU - Bornstein,Shari L, AU - Karpati,Adam M, AU - Bruce,Michael, AU - Bolin,Carole A, AU - Austin,Constance C, AU - Woods,Christopher W, AU - Lingappa,Jairam, AU - Langkop,Carl, AU - Davis,Belinda, AU - Graham,Donald R, AU - Proctor,Mary, AU - Ashford,David A, AU - Bajani,Mary, AU - Bragg,Sandra L, AU - Shutt,Kathleen, AU - Perkins,Bradley A, AU - Tappero,Jordan W, AU - ,, Y1 - 2002/05/24/ PY - 2001/10/25/received PY - 2002/02/01/revised PY - 2002/5/29/pubmed PY - 2002/6/21/medline PY - 2002/5/29/entrez SP - 1593 EP - 9 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 34 IS - 12 N2 - We investigated an outbreak of leptospirosis among athletes and community residents after a triathlon was held in Springfield, Illinois. A telephone survey was conducted to collect clinical information and data on possible risk factors, community surveillance was established, and animal specimens and lake water samples were collected to determine the source of the leptospiral contamination. A total of 834 of 876 triathletes were contacted; 98 (12%) reported being ill. Serum samples obtained from 474 athletes were tested; 52 of these samples (11%) tested positive for leptospirosis. Fourteen (6%) of 248 symptomatic community residents tested positive for leptospirosis. Heavy rains that preceded the triathlon are likely to have increased leptospiral contamination of Lake Springfield. Among athletes, ingestion of 1 or more swallows of lake water was a predominant risk factor for illness. This is the largest outbreak of leptospirosis that has been reported in the United States. Health care providers and occupational and recreational users of bodies of freshwater in the United States should be aware of the risk of contracting leptospirosis, particularly after heavy rains. SN - 1537-6591 UR - https://www.unboundmedicine.com/medline/citation/12032894/Outbreak_of_leptospirosis_among_triathlon_participants_and_community_residents_in_Springfield_Illinois_1998_ L2 - https://academic.oup.com/cid/article-lookup/doi/10.1086/340615 DB - PRIME DP - Unbound Medicine ER -