Leptospirosis-associated severe pulmonary hemorrhagic syndrome, Salvador, Brazil.
We report the emergence of leptospirosis-associated severe pulmonary hemorrhagic syndrome (SPHS) in slum communities in Salvador, Brazil. Although active surveillance did not identify SPHS before 2003, 47 cases were identified from 2003 through 2005; the case-fatality rate was 74%. By 2005, SPHS caused 55% of the deaths due to leptospirosis.
Gouveia
Edilane L
EL
Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Bahia, Brazil.
Metcalfe
John
J
de Carvalho
Ana Luiza F
AL
Aires
Talita S F
TS
Villasboas-Bisneto
José Caetano
JC
Queirroz
Adriano
A
Santos
Andréia C
AC
Salgado
Kátia
K
Reis
Mitermayer G
MG
Ko
Albert I
AI
D000328:Adult; D001938:Brazil / Q000453:epidemiology; D021821:Communicable Diseases, Emerging; D005260:Female; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D007922:Leptospirosis / Q000150:complications* / Q000453:epidemiology* / Q000401:mortality; D008171:Lung Diseases / Q000150:complications* / Q000453:epidemiology* / Q000401:mortality; D008297:Male; D011159:Population Surveillance; D013997:Time Factors