title: Outbreak of leptospirosis after flood, the Philippines, 2009.
abstract: After a typhoon in September 2009, an outbreak of leptospirosis occurred in Metro Manila, the Philippines; 471 patients were hospitalized and 51 (10.8%) died. A hospital-based investigation found risk factors associated with fatal infection to be older age, hemoptysis, anuria, jaundice, and delayed treatment with antimicrobial drugs.
authors.affiliation: Department of Clinical Medicine, Institute of Tropical Medicine, Nagasaki University, Sakamoto 1-12-4, Nagasaki 852-8523, Japan.
authors.forename: Al-Shere T
authors.initials: AS
authors.lastname: Amilasan
authors.forename: Mugen
authors.initials: M
authors.lastname: Ujiie
authors.forename: Motoi
authors.initials: M
authors.lastname: Suzuki
authors.forename: Eumelia
authors.initials: E
authors.lastname: Salva
authors.forename: Maria Cecilia P
authors.initials: MC
authors.lastname: Belo
authors.forename: Nobuo
authors.initials: N
authors.lastname: Koizumi
authors.forename: Kumiko
authors.initials: K
authors.lastname: Yoshimatsu
authors.forename: Wolf-Peter
authors.initials: WP
authors.lastname: Schmidt
authors.forename: Shane
authors.initials: S
authors.lastname: Marte
authors.forename: Efren M
authors.initials: EM
authors.lastname: Dimaano
authors.forename: Jose Benito
authors.initials: JB
authors.lastname: Villarama
authors.forename: Koya
authors.initials: K
authors.lastname: Ariyoshi
mesh_terms: D000328:Adult; D004196:Disease Outbreaks; D005260:Female; D055868:Floods; D006801:Humans; D007919:Leptospira / Q000235:genetics / Q000302:isolation & purification; D007922:Leptospirosis / Q000453:epidemiology* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D010679:Philippines / Q000453:epidemiology; D058974:Phylogeography; D012307:Risk Factors; D055815:Young Adult