Department of Infectious Diseases and Tropical Medicine, Marseille, France.
Intensive Care Unit Department, Laveran Military Teaching Hospital, Marseille, France.
J Travel Med. 2015 Nov-Dec;22(6):419-21. doi: 10.1111/jtm.12239. Epub 2015 Sep 28.
We report the first two cases of leptospirosis in French travelers returning from Koh Samui, a famous tourist island in Thailand, in September 2014 and March 2015. The first patient developed a severe form of the disease including hemodynamic instability, interstitial pneumonia, rhabdomyolysis with renal impairment, and deep thrombocytopenia. The second patient had a milder disease, with severe muscle pain, jaundice, and renal impairment. The two patients reported bathing in fresh water in Namuang waterfall.
我们报告了两例法国旅行者在 2014 年 9 月和 2015 年 3 月从泰国著名旅游岛屿苏梅岛返回后感染钩端螺旋体病的病例。第一例患者出现了严重的疾病形式，包括血流动力学不稳定、间质性肺炎、横纹肌溶解伴肾功能损害和深部血小板减少症。第二例患者的疾病较轻，表现为严重的肌肉疼痛、黄疸和肾功能损害。两名患者均报告在那蒙瀑布的淡水中洗澡。
