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Outbreak of leptospirosis after a race in the tropical forest of Martinique.
Am J Trop Med Hyg. 2011 Apr; 84(4):621-6.AJ

Abstract

Three athletes who participated in a race in the tropical forest of the Caribbean island of Martinique were subsequently diagnosed with leptospirosis using polymerase chain reaction (PCR). We investigated an outbreak to evaluate possible risk factors, and to determine the appropriate public health recommendations. Of 230 athletes, we contacted 148 (64%) and 20 (13.5%) met our case definition. Five were hospitalized and none were fatal. Ten (91%) of the 11 ill athletes who were tested were confirmed by PCR or serology. Serogroup Pyrogenes was commonly found. Cutaneous cuts, reported by 14 (73.7%), was the only potential risk factor using univariate analysis. Sporting event participants in tropical areas should be made aware of specific warnings and recommendations concerning the risk of leptospirosis, especially after periods of heavy rainfall or flooding. Rapid diagnostic assays such as PCR are particularly appropriate in this setting for early diagnosis and for formulating public health recommendations.

Authors+Show Affiliations

Department of Infectious and Tropical Disease and Department of Bacteriology, Centre Hospitalier Universitaire de Fort de France, Fort de France, Martinique, France. patrick.hochedez@chu-fortdefrance.frNo 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

21460020

Citation

Hochedez, Patrick, et al. "Outbreak of Leptospirosis After a Race in the Tropical Forest of Martinique." The American Journal of Tropical Medicine and Hygiene, vol. 84, no. 4, 2011, pp. 621-6.
Hochedez P, Rosine J, Théodose R, et al. Outbreak of leptospirosis after a race in the tropical forest of Martinique. Am J Trop Med Hyg. 2011;84(4):621-6.
Hochedez, P., Rosine, J., Théodose, R., Abel, S., Bourhy, P., Picardeau, M., Quénel, P., & Cabié, A. (2011). Outbreak of leptospirosis after a race in the tropical forest of Martinique. The American Journal of Tropical Medicine and Hygiene, 84(4), 621-6. https://doi.org/10.4269/ajtmh.2011.10-0502
Hochedez P, et al. Outbreak of Leptospirosis After a Race in the Tropical Forest of Martinique. Am J Trop Med Hyg. 2011;84(4):621-6. PubMed PMID: 21460020.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outbreak of leptospirosis after a race in the tropical forest of Martinique. AU - Hochedez,Patrick, AU - Rosine,Jacques, AU - Théodose,Rafaelle, AU - Abel,Sylvie, AU - Bourhy,Pascale, AU - Picardeau,Mathieu, AU - Quénel,Philippe, AU - Cabié,André, PY - 2011/4/5/entrez PY - 2011/4/5/pubmed PY - 2011/6/8/medline SP - 621 EP - 6 JF - The American journal of tropical medicine and hygiene JO - Am J Trop Med Hyg VL - 84 IS - 4 N2 - Three athletes who participated in a race in the tropical forest of the Caribbean island of Martinique were subsequently diagnosed with leptospirosis using polymerase chain reaction (PCR). We investigated an outbreak to evaluate possible risk factors, and to determine the appropriate public health recommendations. Of 230 athletes, we contacted 148 (64%) and 20 (13.5%) met our case definition. Five were hospitalized and none were fatal. Ten (91%) of the 11 ill athletes who were tested were confirmed by PCR or serology. Serogroup Pyrogenes was commonly found. Cutaneous cuts, reported by 14 (73.7%), was the only potential risk factor using univariate analysis. Sporting event participants in tropical areas should be made aware of specific warnings and recommendations concerning the risk of leptospirosis, especially after periods of heavy rainfall or flooding. Rapid diagnostic assays such as PCR are particularly appropriate in this setting for early diagnosis and for formulating public health recommendations. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/21460020/Outbreak_of_leptospirosis_after_a_race_in_the_tropical_forest_of_Martinique_ L2 - https://ajtmh.org/doi/10.4269/ajtmh.2011.10-0502 DB - PRIME DP - Unbound Medicine ER -