2012
DOI: 10.3201/eid1801.101892
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Outbreak of Leptospirosis after Flood, the Philippines, 2009

Abstract: After a typhoon in September 2009, an outbreak of leptospirosis occurred in Metro Manila, the Philippines; 471 patients were hospitalized and 51 (10.8%) died. A hospital-based investigation found risk factors associated with fatal infection to be older age, hemoptysis, anuria, jaundice, and delayed treatment with antimicrobial drugs.

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Cited by 146 publications
(132 citation statements)
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“…(Meerburg, Singleton, & Kijlstra, 2009) and shed infectious organisms in urine throughout their lifespan (Li et al, 2013;Vinetz, 2001). Leptospirosis can be fatal and an outbreak in the Philippines after the flood in 2009 was characterized by jaundice, anuria, and hemoptysis (Amilasan et al, 2012). Leptospira was not investigated in the present study, but future environmental surveys should include diagnosing leptospirosis in rodents to understand the health risks.…”
Section: Discussionmentioning
confidence: 74%
“…(Meerburg, Singleton, & Kijlstra, 2009) and shed infectious organisms in urine throughout their lifespan (Li et al, 2013;Vinetz, 2001). Leptospirosis can be fatal and an outbreak in the Philippines after the flood in 2009 was characterized by jaundice, anuria, and hemoptysis (Amilasan et al, 2012). Leptospira was not investigated in the present study, but future environmental surveys should include diagnosing leptospirosis in rodents to understand the health risks.…”
Section: Discussionmentioning
confidence: 74%
“…One study that assessed climatic factors associated with DF incidence in Manila showed that heavy rainfall in the wet season from June to December was significantly associated with increased DF incidence over 1996-2005 [15]. Leptospirosis outbreaks also typically occur during the typhoon season (July-October) [16].…”
Section: Introductionmentioning
confidence: 99%
“…The patient 4 swam in a river of Thailand and returned to the United States military base in Japan, and the patient had also been visiting the Japan Ground Self-defense Force camp in the Miyagi Prefecture. The initial chief complaints in the four patients were fever, loss of appetite, malaise, myalgia, arthralgia, headache, and abdominal pain, as previously reported (Amilasan et al 2012). Laboratory findings showed severe AKI and a mild liver injury with hyperbilirubinemia (Table 2).…”
Section: Clinical Courses Of the Four Patientsmentioning
confidence: 59%
“…Recently, outbreak of (Amilasan et al 2012), and unpredictable severe rainfall during the summer was observed in all areas over Japan. For example, in the Yamagata Prefecture, localized torrential downpours during rainy season in July 2013 created landslides, muddy rivers, and floods over large areas.…”
Section: Discussionmentioning
confidence: 99%
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