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Titolo:
Assessment of the clinical presentation and treatment of 353 cases of laboratory confirmed leptospirosis in Hawaii, 1974-1998
Autore:
Katz, AR; Ansdell, VE; Effler, PV; Middleton, CR; Sasaki, DM;
Indirizzi:
Univ Hawaii, John A Burns Sch Med, Dept Publ Hlth Sci & Epidemiol, Honolulu, HI 96822 USA Univ Hawaii Honolulu HI USA 96822 Sci & Epidemiol, Honolulu, HI 96822 USA Kaiser Permanente Med Ctr, Honolulu, HI USA Kaiser Permanente Med Ctr Honolulu HI USA ente Med Ctr, Honolulu, HI USA Hawaii State Dept Hlth, Communicable Dis Div, Epidemiol Branch, Honolulu, HI USA Hawaii State Dept Hlth Honolulu HI USA pidemiol Branch, Honolulu, HI USA
Titolo Testata:
CLINICAL INFECTIOUS DISEASES
fascicolo: 11, volume: 33, anno: 2001,
pagine: 1834 - 1841
SICI:
1058-4838(200112)33:11<1834:AOTCPA>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
SOUTH-PACIFIC; NEW-CALEDONIA; EPIDEMIOLOGY; OUTBREAK; HUMANS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
80
Recensione:
Indirizzi per estratti:
Indirizzo: Katz, AR Univ Hawaii, John A Burns Sch Med, Dept Publ Hlth Sci & Epidemiol, Biomed Sci Bldg,Rm D-104K,1960 East West Rd, Honolulu, HI 96822 USA Univ Hawaii Biomed Sci Bldg,Rm D-104K,1960 East West Rd Honolulu HI USA 96822
Citazione:
A.R. Katz et al., "Assessment of the clinical presentation and treatment of 353 cases of laboratory confirmed leptospirosis in Hawaii, 1974-1998", CLIN INF D, 33(11), 2001, pp. 1834-1841

Abstract

Leptospirosis is frequently misdiagnosed as a result of its protean and nonspecific presentation. Leptospirosis, a zoonosis with global distribution,commonly occurs in tropical and subtropical regions; most reported cases in the United States occur in Hawaii. All laboratory-confirmed leptospirosiscases in the State of Hawaii from 1974 through 1998 (n = 353) were clinically evaluated. The most common presentation involved nonspecific signs or symptoms, including fever, myalgia, and headache. Jaundice occurred in 39% of cases; conjunctival suffusion was described in 28% of these cases. Initiation of antibiotics before the seventh day of symptoms was associated with a significantly shortened duration of illness. Because early recognition and initiation of antibiotic therapy are important, clinicians should familiarize themselves with the clinical presentation of leptospirosis, and when evaluating a patient with a febrile illness, they should obtain exposure andtravel histories and entertain the possibility of leptospirosis in the differential diagnosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/10/20 alle ore 23:59:22