title: Leptospirosis presenting as a haemorrhagic fever in a traveller from Africa.
abstract: Leptospirosis is usually a mild illness, although the severity of clinical manifestations may vary between the serovars of leptospires. In May 1993, a 48-year-old man from Ghana presented with severe icteric leptospirosis, initially managed as viral haemorrhagic fever. The causative serovar, bataviae, had not been previously diagnosed in human infection in Australia.
authors.affiliation: St George Hospital, Sydney, NSW.
authors.forename: L G
authors.initials: LG
authors.lastname: Heron
authors.forename: E A
authors.initials: EA
authors.lastname: Reiss-Levy
authors.forename: T C
authors.initials: TC
authors.lastname: Jacques
authors.forename: D J
authors.initials: DJ
authors.lastname: Dickeson
authors.forename: L D
authors.initials: LD
authors.lastname: Smythe
authors.forename: T C
authors.initials: TC
authors.lastname: Sorrell
mesh_terms: D003951:Diagnostic Errors; D005869:Ghana / Q000208:ethnology; D006482:Hemorrhagic Fevers, Viral / Q000175:diagnosis*; D006801:Humans; D007921:Leptospira interrogans / Q000145:classification*; D007922:Leptospirosis / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D012703:Serotyping; D014195:Travel