title: Weil's disease in a patient living in Tokyo.
abstract: A 56-year-old previously healthy man was admitted to our hospital for disordered consciousness, anuria, and severe jaundice. The patient had not travelled recently, but he worked at a fish market in Tokyo. From his history and clinical observation we suspected Weil's disease and started the corresponding treatment. Leptospira infection was ultimately confirmed by a serological study. Our report raises the awareness that leptospirosis is not only a tropic disease, but also it can be a disease in an urban setting in Japan for people who are at risk of exposure.
authors.affiliation: Department of Infectious Diseases, Tokyo Metropolitan Bokutoh General Hospital, Tokyo, Japan. kokudo-tky@umin.ac.jp
authors.forename: Takashi
authors.initials: T
authors.lastname: Kokudo
authors.forename: Itaru
authors.initials: I
authors.lastname: Nakamura
authors.forename: Fukumi
authors.initials: F
authors.lastname: Nakamura-Uchiyama
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Komiya
authors.forename: Kenji
authors.initials: K
authors.lastname: Ohnishi
mesh_terms: D000818:Animals; D005399:Fishes / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure; D014041:Tokyo; D014895:Weil Disease / Q000175:diagnosis* / Q000635:transmission; D015047:Zoonoses / Q000635:transmission