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病例报告:非流行地区日本台风灾害后发生的钩端螺旋体病。

Case Report: Leptospirosis after a Typhoon Disaster Outside the Endemic Region, Japan.

机构信息

Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

Department of Internal Medicine, Kosei General Hospital, Hiroshima, Japan.

出版信息

Am J Trop Med Hyg. 2023 Jul 31;109(3):587-588. doi: 10.4269/ajtmh.23-0133. Print 2023 Sep 6.

Abstract

Leptospirosis is a zoonotic disease that primarily affects people in tropical and subtropical areas worldwide. Owing to the temperate climate of Japan, leptospirosis is not endemic across the country. Domestic cases of leptospirosis have been mainly reported in Okinawa and the southwestern subtropical islands, but not in the other regions. Here, we describe a case of leptospirosis that developed and was diagnosed outside the domestically endemic region. Notably, disease onset occurred shortly after the patient experienced a flood after a typhoon disaster. With global warming, the international prevalence of leptospirosis may change. Physicians outside currently endemic areas must be aware of this tropical disease.

摘要

钩端螺旋体病是一种人畜共患疾病,主要影响全球热带和亚热带地区的人群。由于日本的温带气候,钩端螺旋体病在全国并非地方性流行。日本国内的钩端螺旋体病病例主要报告于冲绳和西南亚热带岛屿,但其他地区没有报告。在这里,我们描述了一例在国内地方性流行地区以外发生和诊断的钩端螺旋体病。值得注意的是,该患者在台风灾害后经历洪水后不久发病。随着全球变暖,钩端螺旋体病的国际流行情况可能会发生变化。目前非地方性流行地区的医生必须了解这种热带疾病。

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Leptospirosis after typhoon.台风后钩端螺旋体病。
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本文引用的文献

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Severe leptospirosis infection in a non-epidemic area.非流行地区的严重钩端螺旋体病感染
IDCases. 2021 Nov 20;26:e01345. doi: 10.1016/j.idcr.2021.e01345. eCollection 2021.
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Leptospirosis Cases in the Tokyo Metropolitan Area, Japan.日本东京都地区的钩端螺旋体病病例
Jpn J Infect Dis. 2017 Nov 22;70(6):669-671. doi: 10.7883/yoken.JJID.2017.108. Epub 2017 Sep 11.
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Global Warming and Its Health Impact.全球变暖及其对健康的影响。
Int J Occup Environ Med. 2017 Jan;8(1):7-20. doi: 10.15171/ijoem.2017.963.

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