Author:
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Rodriguez Valero, Natalia; Moza Moriñigo, Helena; Martínez, Miguel Julián; Peiro Mestres, Aida; Oliveira, Inés; Bodro, Marta; Gómez Junyent, Joan; Gascón i Brustenga, Joaquim; Muñoz, José
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Abstract:
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BACKGROUND: Leptospirosis is an important zoonosis worldwide,
nevertheless is often poor recognized in non tropical settings.
In Thailand is becoming an emerging disease and Chiang Mai could
become a popular spot to acquire the disease amongst travelers.
METHODS: We describe three cases of imported leptospirosis
undifferentiated fever after travelling to Thailand during the
summer of 2015 diagnosed at two Spanish hospitals. RESULTS: Our
three patients probably acquired leptospirosis while swimming in
freshwater around Chiang Mai, a Thailand's northern region with
moderate incidence of leptopirosis. Travelers had normal white
blood cell counts and low platelets, suggesting leptospirosis
after ruling out other imported diseases such as malaria, dengue
or typhoid. CONCLUSION: As recent findings point out, low
platelets and normal white blood cell counts are clinical
features that could help the clinician to suspect Leptospirosis
infection. It should be always considered as a cause of fever,
particularly if travelers come from a tropical country and have
had contact with water or flooding, especially during rainy
season. |