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Outbreak of leptospirosis among triathlon participants in Langau, Austria, 2010.
Wien Klin Wochenschr. 2011 Dec; 123(23-24):751-5.WK

Abstract

We report on the first documented outbreak of leptospirosis in Austria. In July 2010, four cases of serologically confirmed leptospirosis occurred in athletes after a triathlon held in Langau. Heavy rains preceded the triathlon (rainfall: 22 mm). The index case (Patient A) was a 41-year-old previously healthy male, who was admitted to hospital A on July 8 with a four-day history of fever up to 40°C that began 14 days after attending the triathlon event. On July 7, patient B, a 42-year-old male, was admitted to the same hospital, with signs and symptoms of kidney failure. Hemodialysis was performed every other day for 3 weeks. While the serum drawn on the day of admission was negative for antibodies against Leptospira, a specimen from July 28 tested positive with Leptospira interrogans. On July 11, patient C, a 40-year-old male, was admitted to hospital B for nephritis. On July 14, patient D, a 44-year-old male, was admitted to hospital C with a ten days history of intermittent fever, mild dry cough and headache. Our report underlines that in Austria recreational users of bodies of freshwater must be aware of an existing risk of contracting leptospirosis, particularly after heavy rains. The suppressive influence of a triathlon on the immune system is well documented and therefore an outbreak in this population group can be seen as a sensitive indicator concerning possible risk for the general population.

Authors+Show Affiliations

Austrian Agency for Health and Food Safety, Vienna, Austria.No 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

22105111

Citation

Radl, Christoph, et al. "Outbreak of Leptospirosis Among Triathlon Participants in Langau, Austria, 2010." Wiener Klinische Wochenschrift, vol. 123, no. 23-24, 2011, pp. 751-5.
Radl C, Müller M, Revilla-Fernandez S, et al. Outbreak of leptospirosis among triathlon participants in Langau, Austria, 2010. Wien Klin Wochenschr. 2011;123(23-24):751-5.
Radl, C., Müller, M., Revilla-Fernandez, S., Karner-Zuser, S., de Martin, A., Schauer, U., Karner, F., Stanek, G., Balcke, P., Hallas, A., Frank, H., Fürnschlief, A., Erhart, F., & Allerberger, F. (2011). Outbreak of leptospirosis among triathlon participants in Langau, Austria, 2010. Wiener Klinische Wochenschrift, 123(23-24), 751-5. https://doi.org/10.1007/s00508-011-0100-2
Radl C, et al. Outbreak of Leptospirosis Among Triathlon Participants in Langau, Austria, 2010. Wien Klin Wochenschr. 2011;123(23-24):751-5. PubMed PMID: 22105111.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outbreak of leptospirosis among triathlon participants in Langau, Austria, 2010. AU - Radl,Christoph, AU - Müller,Maria, AU - Revilla-Fernandez,Sandra, AU - Karner-Zuser,Stefanie, AU - de Martin,Alfred, AU - Schauer,Ulrike, AU - Karner,Franz, AU - Stanek,Gerold, AU - Balcke,Peter, AU - Hallas,Andreas, AU - Frank,Herbert, AU - Fürnschlief,Albert, AU - Erhart,Friedrich, AU - Allerberger,Franz, Y1 - 2011/11/24/ PY - 2011/05/31/received PY - 2011/10/24/accepted PY - 2011/11/23/entrez PY - 2011/11/23/pubmed PY - 2012/5/18/medline SP - 751 EP - 5 JF - Wiener klinische Wochenschrift JO - Wien Klin Wochenschr VL - 123 IS - 23-24 N2 - We report on the first documented outbreak of leptospirosis in Austria. In July 2010, four cases of serologically confirmed leptospirosis occurred in athletes after a triathlon held in Langau. Heavy rains preceded the triathlon (rainfall: 22 mm). The index case (Patient A) was a 41-year-old previously healthy male, who was admitted to hospital A on July 8 with a four-day history of fever up to 40°C that began 14 days after attending the triathlon event. On July 7, patient B, a 42-year-old male, was admitted to the same hospital, with signs and symptoms of kidney failure. Hemodialysis was performed every other day for 3 weeks. While the serum drawn on the day of admission was negative for antibodies against Leptospira, a specimen from July 28 tested positive with Leptospira interrogans. On July 11, patient C, a 40-year-old male, was admitted to hospital B for nephritis. On July 14, patient D, a 44-year-old male, was admitted to hospital C with a ten days history of intermittent fever, mild dry cough and headache. Our report underlines that in Austria recreational users of bodies of freshwater must be aware of an existing risk of contracting leptospirosis, particularly after heavy rains. The suppressive influence of a triathlon on the immune system is well documented and therefore an outbreak in this population group can be seen as a sensitive indicator concerning possible risk for the general population. SN - 1613-7671 UR - https://www.unboundmedicine.com/medline/citation/22105111/Outbreak_of_leptospirosis_among_triathlon_participants_in_Langau_Austria_2010_ L2 - https://dx.doi.org/10.1007/s00508-011-0100-2 DB - PRIME DP - Unbound Medicine ER -