Leptospirosis after recreational exposure to water in the Yaeyama Islands, Japan

Masashi, Narita, Fujitani, Shigeki, Haake, David A. and Paterson, David L. (2005) Leptospirosis after recreational exposure to water in the Yaeyama Islands, Japan. The American Journal of Tropical Medicine and Hygiene, 73 4: 652-656.

Author Masashi, Narita
Fujitani, Shigeki
Haake, David A.
Paterson, David L.
Title Leptospirosis after recreational exposure to water in the Yaeyama Islands, Japan
Journal name The American Journal of Tropical Medicine and Hygiene   Check publisher's open access policy
ISSN 0002-9637
Publication date 2005-10
Year available 2005
Sub-type Article (original research)
Volume 73
Issue 4
Start page 652
End page 656
Total pages 5
Place of publication Northbrook, Illinois, U.S.A.
Publisher American Society of Tropical Medicine and Hygiene
Language eng
Subject 110309 Infectious Diseases
1117 Public Health and Health Services
Abstract Leptospirosis is a global zoonotic disease with a variety of clinical manifestations. We report an outbreak of leptospirosis in the Yaeyama Islands, Japan, in the summer of 1999 associated with heavy rainfall. Fourteen people were diagnosed with leptospirosis and required hospitalization. All cases were found to have exposure to contaminated soil or water. A history of recreational activities involving water sports was more frequent (71%) than occupational risk factors related to agriculture or construction (29%). Fever was the primary symptom in all cases, followed by chills (93%), headache (86%), myalgias (57%) and conjunctival suffusion (57%). All cases were successfully treated with antimicrobial therapy except one patient who improved spontaneously. Jarisch-Herxheimer reactions were seen in six cases (43%). The increasing incidence of leptospirosis related to recreational sports is an important public health problem in resort areas. A high-index of suspicion, early treatment, and prevention are crucial in this latently endemic area.
Keyword Leptospirosis
Zoonotic disease
Public health
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
UQ Centre for Clinical Research Publications
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Created: Mon, 25 Jan 2010, 12:35:21 EST by Macushla Boyle on behalf of Royal Brisbane Clinical School