Acute Leptospirosis in a Triathlete

Abb, Jochen

doi:10.1580/1080-6032(2002)013[0045:aliat]2.0.co;2

Cited by 12 publications

(15 citation statements)

References 7 publications

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“…Leptospirosis is the only disease transmitted by river or lake water reported in our study [41][42][43][44][45][46]. Practicing sports involving frequent contacts with a possibly contaminated environment such as triathlons [44,45], iron-man [46], adventure raids [42,51], or eco-challenges [43], presents a risk for Leptospires infection.…”

Section: Environmental Transmissionmentioning

confidence: 94%

“…8%) [41][42][43]51], triathlon and iron-man (n = 3. 6%) [44][45][46]. Finally, a single article (most often dealing with an isolated case) was included for the following sports: basketball [2], baseball [38], hockey [50], weightlifting [9], fencing [12], tennis [15], gymnastics [35], road cycling [28], off-road cycling [47], beach soccer [48], and beach volley [49].…”

Section: Type Of Sportmentioning

confidence: 99%

“…The other localizations were: visceral (n = 10. 17%) [12,30,[41][42][43][44][45][46]50,51], meningeal (n = 4. 7%) [36][37][38]40], ophthalmic (n = 3.…”

Section: Localization Of the Infectionmentioning

confidence: 99%

“…The identified risk factors include events in river or lake water [42][43][44][45], the ingestion of this water during the event [44], the presence of dermabrasions or wounds [41,43], the occurrence of strong rain before the race (which would increase the risk of water contamination and survival of Leptospires at the water surface) [43,44]. The importance of the risk varies according to geographic zones: it is higher in tropical zones [41][42][43]46] than in temperate zones [44,45].…”

Section: Environmental Transmissionmentioning

confidence: 99%

See 3 more Smart Citations

Sport and infectious risk: A systematic review of the literature over 20 years

Grosset-Janin

Nicolás

Saraux

2012

Médecine et Maladies Infectieuses

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Section: Environmental Transmissionmentioning

confidence: 94%

Section: Type Of Sportmentioning

confidence: 99%

“…The other localizations were: visceral (n = 10. 17%) [12,30,[41][42][43][44][45][46]50,51], meningeal (n = 4. 7%) [36][37][38]40], ophthalmic (n = 3.…”

Section: Localization Of the Infectionmentioning

confidence: 99%

Section: Environmental Transmissionmentioning

confidence: 99%

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Sport and infectious risk: A systematic review of the literature over 20 years

Grosset-Janin

Nicolás

Saraux

2012

Médecine et Maladies Infectieuses

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“…In Deutschland ist die Leptospirose meldepflichtig und tritt nur noch sehr sporadisch auf [2]. Dennoch wurden in den letzten Jahren auch in Deutschland immer wieder einzelne Fälle der Erkrankung beschrieben [1,11],sodass sie immer differenzialdiagnostisch in Erwägung gezogen werden muss.Nicht selten wird die Erkrankung durch Reisen in tropische Gebiete importiert.…”

Section: Diagnose Und Differenzialdiagnoseunclassified

?Eigent�mliche Infektion? mit Fieber, Splenomegalie und akutem Nierenversagen bei einem 24-j�hrigen Forstwirtschaftsstudenten

et al. 2003

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When confronted by the combination of initial high fever associated with intense malaise, splenomegaly, elevated levels of transaminases, and acute renal failure, consideration must be given to the differential diagnosis of leptospirosis even in Germany. As a rule, the diagnosis is confirmed by serological testing based on the titer curve. Renal involvement is frequent, but usually has a good prognosis, especially if jaundice has not developed. Treatment with doxycycline or penicillin can shorten the disease course and exudation, possibly also the nephritis, or hinder it.

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The Impact of Triathlon Training and Racing on Athletes’ General Health

2014

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Although the sport of triathlon provides an opportunity to research the effect of multi-disciplinary exercise on health across the lifespan, much remains to be done. The literature has failed to consistently or adequately report subject age group, sex, ability level, and/or event-distance specialization. The demands of training and racing are relatively unquantified. Multiple definitions and reporting methods for injury and illness have been implemented. In general, risk factors for maladaptation have not been well-described. The data thus far collected indicate that the sport of triathlon is relatively safe for the well-prepared, well-supplied athlete. Most injuries 'causing cessation or reduction of training or seeking of medical aid' are not serious. However, as the extent to which they recur may be high and is undocumented, injury outcome is unclear. The sudden death rate for competition is 1.5 (0.9-2.5) [mostly swim-related] occurrences for every 100,000 participations. The sudden death rate is unknown for training, although stroke risk may be increased, in the long-term, in genetically susceptible athletes. During heavy training and up to 5 days post-competition, host protection against pathogens may also be compromised. The incidence of illness seems low, but its outcome is unclear. More prospective investigation of the immunological, oxidative stress-related and cardiovascular effects of triathlon training and competition is warranted. Training diaries may prove to be a promising method of monitoring negative adaptation and its potential risk factors. More longitudinal, medical-tent-based studies of the aetiology and treatment demands of race-related injury and illness are needed.

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Acute Leptospirosis in a Triathlete

Cited by 12 publications

References 7 publications

Sport and infectious risk: A systematic review of the literature over 20 years

Sport and infectious risk: A systematic review of the literature over 20 years

?Eigent�mliche Infektion? mit Fieber, Splenomegalie und akutem Nierenversagen bei einem 24-j�hrigen Forstwirtschaftsstudenten

The Impact of Triathlon Training and Racing on Athletes’ General Health

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