2008
Leptospirosis-associated Severe Pulmonary Hemorrhagic Syndrome, Salvador, Brazil - Volume 14, Number 3—March 2008 - Emerging Infectious Diseases journal - CDC
Gouveia EL, Metcalfe J, de Carvalho AL, Aires TS, Villasboas-Bisneto JC, Queirroz A, Santos AC, Salgado K, Reis MG, Ko AI. Leptospirosis-associated Severe Pulmonary Hemorrhagic Syndrome, Salvador, Brazil - Volume 14, Number 3—March 2008 - Emerging Infectious Diseases journal - CDC. Emerging Infectious Diseases 2008, 14: 505-508. PMID: 18325275, PMCID: PMC2570821, DOI: 10.3201/eid1403.071064.Peer-Reviewed Original Research
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