title: Leptospirosis in a Dutch catfish farm.
abstract: A 51-year-old farm worker presented with jaundice and fever. There had been a rat infestation around the farm ponds and in the shed. He was admitted to our hospital with acute renal and liver failure, thrombocytopenia and rhabdomyolysis. Because of the clinical clues, leptospirosis was suspected and diagnosed in blood by polymerase chain reaction and serology. Also his son, a co-worker on the farm, showed a positive serology. Clinicians should be aware of these occupational outbreaks and should recognise the clinical picture.
authors.affiliation: Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands. E.Kolwijck@mmb.umcn.nl
authors.forename: E
authors.initials: E
authors.lastname: Kolwijck
authors.forename: A S M
authors.initials: AS
authors.lastname: Dofferhoff
authors.forename: J
authors.initials: J
authors.lastname: van de Leur
authors.forename: J F
authors.initials: JF
authors.lastname: Meis
mesh_terms: D058186:Acute Kidney Injury / Q000097:blood / Q000175:diagnosis / Q000209:etiology; D000818:Animals; D002397:Catfishes; D005398:Fisheries; D006801:Humans; D007922:Leptospirosis / Q000097:blood / Q000175:diagnosis / Q000635:transmission*; D017114:Liver Failure, Acute / Q000097:blood / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009784:Occupational Diseases / Q000097:blood / Q000175:diagnosis* / Q000382:microbiology; D051381:Rats; D012206:Rhabdomyolysis / Q000097:blood / Q000175:diagnosis / Q000209:etiology