Leptospirosis in a British soldier after travel to Borneo.
Undifferentiated febrile illness in a returning soldier is a common problem encountered by serving medical officers. A 32-year-old soldier presented to Birmingham Heartlands Hospital with fever and acute kidney injury after return from Borneo. Leptospirosis was suspected and empirical antibiotics were started before subsequent confirmation by serology and PCR. Leptospirosis is common in South-East Asia, and troops exercising in jungle areas, and in the UK, are at risk. Advice, including inpatient management when appropriate, is available from the UK Role 4 Military Infectious Diseases and Tropical Medicine Service.
Department of Infection and Tropical Medicine, Birmingham Heartlands Hospital, Birmingham, UK.|Army Medical Directorate, Camberley, UK.
Daniel S
http://orcid.org/0000-0003-1713-0875
DS
Burns
Department of Infection and Tropical Medicine, Birmingham Heartlands Hospital, Birmingham, UK.|Army Medical Directorate, Camberley, UK.
K A
KA
Clay
Department of Infection and Tropical Medicine, Birmingham Heartlands Hospital, Birmingham, UK.|Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK.
M S
http://orcid.org/0000-0003-4840-5093
MS
Bailey
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001893:Borneo; D002443:Ceftriaxone / Q000627:therapeutic use; D004269:DNA, Bacterial / Q000097:blood; D003967:Diarrhea / Q000209:etiology; D004318:Doxycycline / Q000627:therapeutic use; D005334:Fever / Q000209:etiology; D006801:Humans; D007075:Immunoglobulin M / Q000276:immunology; D007919:Leptospira / Q000235:genetics; D007922:Leptospirosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D008297:Male; D008889:Military Personnel; D063806:Myalgia / Q000209:etiology; D016133:Polymerase Chain Reaction; D012698:Serologic Tests; D014195:Travel; D006113:United Kingdom
D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D007075:Immunoglobulin M; D002443:Ceftriaxone; D004318:Doxycycline
INFECTIOUS DISEASES; TROPICAL MEDICINE