Severe leptospirosis in a Dutch traveller returning from the Dominican Republic, October 2011

M S Arcilla; P J Wismans; Y van Beek-Nieuwland; P J van Genderen

doi:10.2807/ese.17.13.20134-en

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Severe leptospirosis in a Dutch traveller returning from the Dominican Republic, October 2011
M S Arcilla¹ , P J Wismans¹ , Y van Beek-Nieuwland¹ , P J van Genderen¹
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Affiliations: ¹ Institute for Tropical Diseases, Department of Internal Medicine, Havenziekenhuis, Rotterdam, the Netherlands

Correspondence:
P van Genderen
p.van.genderen havenziekenhuis.nl
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Citation style for this article: Arcilla M S, Wismans P J, van Beek-Nieuwland Y, van Genderen P J. Severe leptospirosis in a Dutch traveller returning from the Dominican Republic, October 2011. Euro Surveill. 2012;17(13):pii=20134. https://doi.org/10.2807/ese.17.13.20134-en Received: 19 Mar 2012

Abstract

In October 2011, a case of leptospirosis was identified in a Dutch traveller returning from the Dominican Republic to the Netherlands. The 51-year-old man had aspired muddy water in the Chavón river on 29 September. Twenty days later he presented with fever, nausea, vomiting, diarrhoea, arthralgia, headache, conjunctival suffusion and icterus. Leptospira serovar Icterohaemorrhagiae or Australis infection was confirmed ten days later by laboratory testing.