title: Leptospirosis in a European intensive care unit.
abstract: We report the first series of indigenous European patients with severe leptospirosis in need of intensive care because of acute respiratory distress syndrome, coma and shock. The all-cause hospital mortality was 16.7%, and may have been influenced by relatively early diagnosis, indicating the need for heightened clinical suspicion in Europe.
authors.affiliation: Intensive Care Unit, Henry Dunant Hospital, Athens, Greece. amichalopoulos@hol.gr
authors.forename: Argyris
authors.initials: A
authors.lastname: Michalopoulos
authors.forename: Georgios
authors.initials: G
authors.lastname: Pappas
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Papadakis
authors.forename: Theodoros
authors.initials: T
authors.lastname: Christoforatos
authors.forename: Panayiotis
authors.initials: P
authors.lastname: Malamos
authors.forename: Christiana
authors.initials: C
authors.lastname: Koumoudiou
authors.forename: George
authors.initials: G
authors.lastname: Chalevelakis
mesh_terms: D000328:Adult; D000368:Aged; D005060:Europe; D006801:Humans; D007362:Intensive Care Units; D007922:Leptospirosis / Q000453:epidemiology* / Q000401:mortality / Q000473:pathology*; D008297:Male; D008875:Middle Aged