Emerg Infect Dis. 2018 Dec;24(12):2386-2388. doi: 10.3201/eid2412.181015.
Leptospirosis is found worldwide, except in northern regions. We report a case associated with a backcountry adventure race in Manitoba, Canada. Initially, nonspecific symptomatology and diagnostic pitfalls contributed to a delay in identification. Careful attention needs to be paid to exposure to and risk for leptospirosis in northern and temperate climates.
钩端螺旋体病遍布世界各地，除了北部地区。我们报告了一例与在加拿大马尼托巴省的野外探险比赛有关的病例。最初，非特异性症状和诊断陷阱导致了诊断的延迟。在北方和温带气候地区，需要仔细注意接触和感染钩端螺旋体病的风险。
