title: Outbreak of leptospirosis after a race in the tropical forest of Martinique.
abstract: Three athletes who participated in a race in the tropical forest of the Caribbean island of Martinique were subsequently diagnosed with leptospirosis using polymerase chain reaction (PCR). We investigated an outbreak to evaluate possible risk factors, and to determine the appropriate public health recommendations. Of 230 athletes, we contacted 148 (64%) and 20 (13.5%) met our case definition. Five were hospitalized and none were fatal. Ten (91%) of the 11 ill athletes who were tested were confirmed by PCR or serology. Serogroup Pyrogenes was commonly found. Cutaneous cuts, reported by 14 (73.7%), was the only potential risk factor using univariate analysis. Sporting event participants in tropical areas should be made aware of specific warnings and recommendations concerning the risk of leptospirosis, especially after periods of heavy rainfall or flooding. Rapid diagnostic assays such as PCR are particularly appropriate in this setting for early diagnosis and for formulating public health recommendations.
authors: Department of Infectious and Tropical Disease and Department of Bacteriology, Centre Hospitalier Universitaire de Fort de France, Fort de France, Martinique, France. patrick.hochedez@chu-fortdefrance.fr
authors: Patrick
authors: P
authors: Hochedez
authors: Jacques
authors: J
authors: Rosine
authors: Rafaelle
authors: R
authors: Théodose
authors: Sylvie
authors: S
authors: Abel
authors: Pascale
authors: P
authors: Bourhy
authors: Mathieu
authors: M
authors: Picardeau
authors: Philippe
authors: P
authors: Quénel
authors: André
authors: A
authors: Cabié
mesh_terms: D000328:Adult; D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D007919:Leptospira / Q000145:classification; D007922:Leptospirosis / Q000453:epidemiology*; D008297:Male; D008395:Martinique / Q000453:epidemiology; D008875:Middle Aged; D012307:Risk Factors; D013177:Sports; D014197:Trees