2001
Referral pattern of leptospirosis cases during a large urban epidemic of dengue.
Flannery B, Pereira MM, Velloso L de F, Carvalho C de C, De Codes LG, Orrico G de S, Dourado CM, Riley LW, Reis MG, Ko AI. Referral pattern of leptospirosis cases during a large urban epidemic of dengue. American Journal Of Tropical Medicine And Hygiene 2001, 65: 657-63. PMID: 11716133, DOI: 10.4269/ajtmh.2001.65.657.Peer-Reviewed Original ResearchConceptsInfectious diseases reference hospitalFirst medical evaluationLarge urban epidemicDays of illnessInfectious Diseases HospitalIntensive care unitOnset of illnessCases of leptospirosisDiagnosis of dengueDiseases HospitalCare unitInitial diagnosisReference hospitalReferral patternsAmbulatory clinicsLeptospirosis epidemicMedical evaluationConcurrent epidemicsDengue diagnosisDiagnostic confusionUrban epidemicEarly symptomsHigh mortalityLeptospirosis casesLeptospirosis
1999
Urban epidemic of severe leptospirosis in Brazil
Ko A, Reis M, Dourado C, Johnson W, Riley L, Group S. Urban epidemic of severe leptospirosis in Brazil. The Lancet 1999, 354: 820-825. PMID: 10485724, DOI: 10.1016/s0140-6736(99)80012-9.Peer-Reviewed Original ResearchConceptsDengue feverInfectious disease referral hospitalAggressive supportive careEpidemic of leptospirosisStrong independent predictorPositive blood culturesLarge urban outbreaksIdentification of leptospiresRenal insufficiencyRespiratory insufficiencySevere leptospirosisSupportive careIndependent predictorsReferral hospitalOutpatient clinicSevere anemiaSevere manifestationsActive surveillanceMental statusRisk factorsBlood culturesDiagnostic confusionUrban epidemicMicroagglutination testUrban outbreaks