インドネシア・バリ島で感染した<I>Leptospira borgpetersenii</I>血清型Sejroeによるレプトスピラ症の1例

• 坂本 光男

  東京慈恵会医科大学感染制御部

• 加藤 哲朗

  東京慈恵会医科大学感染制御部

• 佐藤 文哉

  東京慈恵会医科大学感染制御部

• 吉川 晃司

  東京慈恵会医科大学感染制御部

• 吉田 正樹

  東京慈恵会医科大学感染制御部

• 柴 孝也

  東京慈恵会医科大学感染制御部

• 小野寺 昭一

  東京慈恵会医科大学感染制御部

• 保科 定頼

  東京慈恵会医科大学臨床検査医学

• 小泉 信夫

  国立感染症研究所細菌第一部

• 渡辺 治雄

  国立感染症研究所細菌第一部

書誌事項

タイトル別名

• A Case of Leptospirosis Caused by <I>Leptospira borgpetersenii</I> Serovar Sejroe Infected in Bali Island, Indonesia
• 症例 インドネシア・バリ島で感染したLeptospira borgpetersenii血清型Sejroeによるレプトスピラ症の1例
• ショウレイ インドネシア バリトウ デ カンセン シタ Leptospira borgpetersenii ケッセイガタ Sejroe ニ ヨル レプトスピラショウ ノ 1レイ
• A Case of Leptospirosis Caused by Leptospira borgpetersenii Serovar Sejroe Infected in Bali Island, Indonesia

抄録

We report a patient with leptospirosis caused by Leptospira borgpetersenii serovar Sejroe infection on Bali Island, Indonesia. This 33-year-old Japanese man had stayed at a resort hotel on the island from July 8 to July 13 2004. At the hotel, he swam in the pool, walked barefoot, and lied down in the grass. He developed a high fever and headache 7 days after completing his trip, and was admitted to our hospital on July 23. On admission he showed conjunctival suffusion and complained of myalgias. Laboratory findings included granulocytosis and elevated CRP.Plasmodiumspp. were not found in blood smears, and no pathogenic bacteria were isolated from blood or fecal cultures. We diagnosed the patient as leptospirosis upon detection of slender coiled organisms with characteristic morphology by darkfield examination of blood sample. Minocycline 100 mg i. v. b. i. d. showed excellent efficacy. A microscopic agglutination test (MAT) during the convalescent stage demonstrated a significant increase in antibodies against L. borgpeterseniiserovar Sejroe, confirming the diagnosis of leptospirosis. Despite occurrence of a pandemic of leptospirosis in certain Southeast Asian countries including Indonesia, information concerning pandemic disease is limited. In addition serovars of “imported” cases representing infection in pandemic areas differ widely from those in domestic cases. Adequate laboratory support therefore is crucial for accurate diagnosis of leptospirosis.

収録刊行物

• 感染症学雑誌

  感染症学雑誌 79 (4), 294-298, 2005

  一般社団法人 日本感染症学会

キーワード

• leptospirosis
• imported infection
• serovar

詳細情報

• CRID: 1390282680027114880
• NII論文ID: 130004331263
• NII論文ID: 10015684399
• NII書誌ID: AN00047715
• DOI: 10.11150/kansenshogakuzasshi1970.79.294
• ISSN: 1884569X
• ISSN: 03875911
• NDL書誌ID: 7347155
• PubMed: 15977569
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I7347155
• Web Site: https://search.jamas.or.jp/link/ui/2005261763
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可