Severe leptospirosis after rat bite: A case report

About the Authors: Thais Faggion Vinholo Affiliation: Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States ORCID logo http://orcid.org/0000-0002-9572-6861 Guilherme S. Ribeiro Affiliations Instituto Gonçalo Moniz, Fundação Oswaldo Cruz,...

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Veröffentlicht in:PLoS neglected tropical diseases 2020-07, Vol.14 (7), p.e0008257
Hauptverfasser: Faggion Vinholo, Thais, Ribeiro, Guilherme S, Silva, Nanci F, Cruz, Jaqueline, Reis, Mitermayer G, Ko, Albert I, Costa, Federico
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container_issue 7
container_start_page e0008257
container_title PLoS neglected tropical diseases
container_volume 14
creator Faggion Vinholo, Thais
Ribeiro, Guilherme S
Silva, Nanci F
Cruz, Jaqueline
Reis, Mitermayer G
Ko, Albert I
Costa, Federico
description About the Authors: Thais Faggion Vinholo Affiliation: Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States ORCID logo http://orcid.org/0000-0002-9572-6861 Guilherme S. Ribeiro Affiliations Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil Nanci F. Silva Affiliation: Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil Jaqueline Cruz Affiliation: Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil Mitermayer G. Reis Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil Albert I. Ko Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil Federico Costa * E-mail: Federico.costa@ufba.br Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil, Institute of Integrative Biology, University of Liverpool, Liverpool, United Kingdom ORCID logo http://orcid.org/0000-0001-6951-2336 Citation: Faggion Vinholo T, Ribeiro GS, Silva NF, Cruz J, Reis MG, Ko AI, et al. Funding: The study was supported by grants from the Fogarty International Center (R25 TW009338, R01 TW009504) and National Institute of Allergy and Infectious Diseases (F31 AI114245, R01 AI121207) from the National Institutes of Health; the UK Medical Research Council (MR/P0240841), the Wellcome Trust (102330/Z/13/Z), and the Fulbright Foundation. Clinical examination recorded a temperature of 38.0°C, blood pressure of 117/72 mmHg, heart rate of 100 beats per minute, respiratory rate of 16 breaths per minute, and oxygen saturation of 99% breathing room air, in addition to dehydration. [...]we cannot exclude the hypothesis that the entry for leptospires could have happened through direct contact from residual urine tracked by the rat once the skin was broken.
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Ribeiro Affiliations Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil Nanci F. Silva Affiliation: Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil Jaqueline Cruz Affiliation: Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil Mitermayer G. Reis Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil Albert I. Ko Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil Federico Costa * E-mail: Federico.costa@ufba.br Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil, Institute of Integrative Biology, University of Liverpool, Liverpool, United Kingdom ORCID logo http://orcid.org/0000-0001-6951-2336 Citation: Faggion Vinholo T, Ribeiro GS, Silva NF, Cruz J, Reis MG, Ko AI, et al. Funding: The study was supported by grants from the Fogarty International Center (R25 TW009338, R01 TW009504) and National Institute of Allergy and Infectious Diseases (F31 AI114245, R01 AI121207) from the National Institutes of Health; the UK Medical Research Council (MR/P0240841), the Wellcome Trust (102330/Z/13/Z), and the Fulbright Foundation. Clinical examination recorded a temperature of 38.0°C, blood pressure of 117/72 mmHg, heart rate of 100 beats per minute, respiratory rate of 16 breaths per minute, and oxygen saturation of 99% breathing room air, in addition to dehydration. [...]we cannot exclude the hypothesis that the entry for leptospires could have happened through direct contact from residual urine tracked by the rat once the skin was broken.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0008257</identifier><identifier>PMID: 32645040</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Animals ; Antibiotics ; Biology ; Biology and Life Sciences ; Bites (Injuries) ; Bites and Stings - complications ; Blood pressure ; Care and treatment ; Case reports ; Case studies ; Complications and side effects ; Dehydration ; Diagnosis ; Disease ; Epidemiology ; Female ; Financing ; Heart ; Heart rate ; Hemoptysis ; Hospitals ; Humans ; Hypersensitivity ; Hypotheses ; Infectious diseases ; Laboratories ; Leptospirosis ; Leptospirosis - transmission ; Medical research ; Medicine and Health Sciences ; Microorganisms ; Mortality ; Oxygen content ; Oxygen saturation ; Physical Sciences ; Public health ; Rats ; Research and Analysis Methods ; Respiration ; Respiratory rate ; Saturation ; Skin ; Symposium ; Tropical diseases ; Urine ; Zoonoses</subject><ispartof>PLoS neglected tropical diseases, 2020-07, Vol.14 (7), p.e0008257</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Faggion Vinholo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Ribeiro Affiliations Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil Nanci F. Silva Affiliation: Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil Jaqueline Cruz Affiliation: Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil Mitermayer G. Reis Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil Albert I. Ko Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil Federico Costa * E-mail: Federico.costa@ufba.br Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil, Institute of Integrative Biology, University of Liverpool, Liverpool, United Kingdom ORCID logo http://orcid.org/0000-0001-6951-2336 Citation: Faggion Vinholo T, Ribeiro GS, Silva NF, Cruz J, Reis MG, Ko AI, et al. Funding: The study was supported by grants from the Fogarty International Center (R25 TW009338, R01 TW009504) and National Institute of Allergy and Infectious Diseases (F31 AI114245, R01 AI121207) from the National Institutes of Health; the UK Medical Research Council (MR/P0240841), the Wellcome Trust (102330/Z/13/Z), and the Fulbright Foundation. Clinical examination recorded a temperature of 38.0°C, blood pressure of 117/72 mmHg, heart rate of 100 beats per minute, respiratory rate of 16 breaths per minute, and oxygen saturation of 99% breathing room air, in addition to dehydration. 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Ribeiro Affiliations Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil Nanci F. Silva Affiliation: Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil Jaqueline Cruz Affiliation: Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil Mitermayer G. Reis Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Brazil Albert I. Ko Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil Federico Costa * E-mail: Federico.costa@ufba.br Affiliations Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut, United States, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Ministério da Saúde, Salvador, Brazil, Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil, Institute of Integrative Biology, University of Liverpool, Liverpool, United Kingdom ORCID logo http://orcid.org/0000-0001-6951-2336 Citation: Faggion Vinholo T, Ribeiro GS, Silva NF, Cruz J, Reis MG, Ko AI, et al. Funding: The study was supported by grants from the Fogarty International Center (R25 TW009338, R01 TW009504) and National Institute of Allergy and Infectious Diseases (F31 AI114245, R01 AI121207) from the National Institutes of Health; the UK Medical Research Council (MR/P0240841), the Wellcome Trust (102330/Z/13/Z), and the Fulbright Foundation. Clinical examination recorded a temperature of 38.0°C, blood pressure of 117/72 mmHg, heart rate of 100 beats per minute, respiratory rate of 16 breaths per minute, and oxygen saturation of 99% breathing room air, in addition to dehydration. [...]we cannot exclude the hypothesis that the entry for leptospires could have happened through direct contact from residual urine tracked by the rat once the skin was broken.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32645040</pmid><doi>10.1371/journal.pntd.0008257</doi><orcidid>https://orcid.org/0000-0002-9572-6861</orcidid><orcidid>https://orcid.org/0000-0001-6951-2336</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1935-2735
ispartof PLoS neglected tropical diseases, 2020-07, Vol.14 (7), p.e0008257
issn 1935-2735
1935-2727
1935-2735
language eng
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source MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adult
Animals
Antibiotics
Biology
Biology and Life Sciences
Bites (Injuries)
Bites and Stings - complications
Blood pressure
Care and treatment
Case reports
Case studies
Complications and side effects
Dehydration
Diagnosis
Disease
Epidemiology
Female
Financing
Heart
Heart rate
Hemoptysis
Hospitals
Humans
Hypersensitivity
Hypotheses
Infectious diseases
Laboratories
Leptospirosis
Leptospirosis - transmission
Medical research
Medicine and Health Sciences
Microorganisms
Mortality
Oxygen content
Oxygen saturation
Physical Sciences
Public health
Rats
Research and Analysis Methods
Respiration
Respiratory rate
Saturation
Skin
Symposium
Tropical diseases
Urine
Zoonoses
title Severe leptospirosis after rat bite: A case report
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