title: Two Cases of Leptospirosis in French Travelers Returning From Koh Samui, Thailand.
abstract: We report the first two cases of leptospirosis in French travelers returning from Koh Samui, a famous tourist island in Thailand, in September 2014 and March 2015. The first patient developed a severe form of the disease including hemodynamic instability, interstitial pneumonia, rhabdomyolysis with renal impairment, and deep thrombocytopenia. The second patient had a milder disease, with severe muscle pain, jaundice, and renal impairment. The two patients reported bathing in fresh water in Namuang waterfall.
authors.affiliation: Department of Infectious Diseases and Tropical Medicine, Marseille, France.
authors.forename: Jacques-Robert
authors.initials: JR
authors.lastname: Christen
authors.affiliation: Department of Infectious Diseases and Tropical Medicine, Marseille, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Savini
authors.affiliation: Intensive Care Unit Department, Laveran Military Teaching Hospital, Marseille, France.
authors.forename: Candice
authors.initials: C
authors.lastname: Pierrou
authors.affiliation: Intensive Care Unit Department, Laveran Military Teaching Hospital, Marseille, France.
authors.forename: Gilles
authors.initials: G
authors.lastname: Boisnault
authors.affiliation: Institut Hospitalo-Méditerranée Infection, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), UM 63 CNRS 7278 IRD 198 INSERM U1095, Faculty of Medicine, Aix-Marseille University, Marseille, France.
authors.forename: Pierre-Edouard
authors.initials: PE
authors.lastname: Fournier
authors.affiliation: Department of Infectious Diseases and Tropical Medicine, Marseille, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Kraemer
authors.affiliation: Department of Infectious Diseases and Tropical Medicine, Marseille, France.
authors.forename: Fabrice
authors.initials: F
authors.lastname: Simon
mesh_terms: D058186:Acute Kidney Injury; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D006801:Humans; D007565:Jaundice; D007919:Leptospira; D007922:Leptospirosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D017563:Lung Diseases, Interstitial; D008297:Male; D063806:Myalgia; D012206:Rhabdomyolysis; D013785:Thailand; D013921:Thrombocytopenia; D014195:Travel; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents