title: Severe leptospirosis in a Dutch traveller returning from the Dominican Republic, October 2011.
abstract: In October 2011, a case of leptospirosis was identified in a Dutch traveller returning from the Dominican Republic to the Netherlands. The 51-year-old man had aspired muddy water in the Chavón river on 29 September. Twenty days later he presented with fever, nausea, vomiting, diarrhoea, arthralgia, headache, conjunctival suffusion and icterus. Leptospira serovar Icterohaemorrhagiae or Australis infection was confirmed ten days later by laboratory testing.
authors.affiliation: Institute for Tropical Diseases, Department of Internal Medicine, Havenziekenhuis, Rotterdam, the Netherlands.
authors.forename: Ms
authors.initials: M
authors.lastname: Arcilla
authors.forename: P J
authors.initials: PJ
authors.lastname: Wismans
authors.forename: Y
authors.initials: Y
authors.lastname: van Beek-Nieuwland
authors.forename: P J
authors.initials: PJ
authors.lastname: van Genderen
mesh_terms: D000372:Agglutination Tests; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D002443:Ceftriaxone / Q000627:therapeutic use; D004293:Dominican Republic; D004318:Doxycycline / Q000627:therapeutic use; D004797:Enzyme-Linked Immunosorbent Assay; D005334:Fever / Q000209:etiology; D006801:Humans; D007921:Leptospira interrogans / Q000276:immunology / Q000302:isolation & purification*; D007922:Leptospirosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D012720:Severity of Illness Index; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D002443:Ceftriaxone; D004318:Doxycycline