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Fatal leptospirosis and chikungunya co-infection: Do not forget leptospirosis during chikungunya outbreaks
In endemic areas, leptospirosis can be missed by erroneous clinical or laboratory diagnosis of arboviroses or co-infections with arboviruses and an increase in mortality due to leptospirosis has already been reported during arboviruses outbreaks. During the French Polynesian chikungunya virus outbre...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925901/ https://www.ncbi.nlm.nih.gov/pubmed/27413690 http://dx.doi.org/10.1016/j.idcr.2016.06.003 |
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author | Nhan, Tu-Xuan Bonnieux, Eric Rovery, Clarisse De Pina, Jean-Jacques Musso, Didier |
author_facet | Nhan, Tu-Xuan Bonnieux, Eric Rovery, Clarisse De Pina, Jean-Jacques Musso, Didier |
author_sort | Nhan, Tu-Xuan |
collection | PubMed |
description | In endemic areas, leptospirosis can be missed by erroneous clinical or laboratory diagnosis of arboviroses or co-infections with arboviruses and an increase in mortality due to leptospirosis has already been reported during arboviruses outbreaks. During the French Polynesian chikungunya virus outbreak in 2014–2015, two leptospirosis and chikungunya co-infections were reported, one of which was fatal. Diagnosis of leptospiroses was delayed in the context of chikungunya outbreak. In the context of arbovirus outbreak, the risk of misdiagnosis of leptospirosis is maximum and clinicians should initiate early antibiotic therapy if leptospirosis is suspected. A delayed diagnosis of leptospirosis can be responsible for fatal outcome. Leptospirosis should be considered even if dengue or chikungunya virus infections are confirmed by reference molecular testing |
format | Online Article Text |
id | pubmed-4925901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-49259012016-07-13 Fatal leptospirosis and chikungunya co-infection: Do not forget leptospirosis during chikungunya outbreaks Nhan, Tu-Xuan Bonnieux, Eric Rovery, Clarisse De Pina, Jean-Jacques Musso, Didier IDCases Case Report In endemic areas, leptospirosis can be missed by erroneous clinical or laboratory diagnosis of arboviroses or co-infections with arboviruses and an increase in mortality due to leptospirosis has already been reported during arboviruses outbreaks. During the French Polynesian chikungunya virus outbreak in 2014–2015, two leptospirosis and chikungunya co-infections were reported, one of which was fatal. Diagnosis of leptospiroses was delayed in the context of chikungunya outbreak. In the context of arbovirus outbreak, the risk of misdiagnosis of leptospirosis is maximum and clinicians should initiate early antibiotic therapy if leptospirosis is suspected. A delayed diagnosis of leptospirosis can be responsible for fatal outcome. Leptospirosis should be considered even if dengue or chikungunya virus infections are confirmed by reference molecular testing Elsevier 2016-06-22 /pmc/articles/PMC4925901/ /pubmed/27413690 http://dx.doi.org/10.1016/j.idcr.2016.06.003 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Nhan, Tu-Xuan Bonnieux, Eric Rovery, Clarisse De Pina, Jean-Jacques Musso, Didier Fatal leptospirosis and chikungunya co-infection: Do not forget leptospirosis during chikungunya outbreaks |
title | Fatal leptospirosis and chikungunya co-infection: Do not forget leptospirosis during chikungunya outbreaks |
title_full | Fatal leptospirosis and chikungunya co-infection: Do not forget leptospirosis during chikungunya outbreaks |
title_fullStr | Fatal leptospirosis and chikungunya co-infection: Do not forget leptospirosis during chikungunya outbreaks |
title_full_unstemmed | Fatal leptospirosis and chikungunya co-infection: Do not forget leptospirosis during chikungunya outbreaks |
title_short | Fatal leptospirosis and chikungunya co-infection: Do not forget leptospirosis during chikungunya outbreaks |
title_sort | fatal leptospirosis and chikungunya co-infection: do not forget leptospirosis during chikungunya outbreaks |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925901/ https://www.ncbi.nlm.nih.gov/pubmed/27413690 http://dx.doi.org/10.1016/j.idcr.2016.06.003 |
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