An outbreak of Leptospirosis among United States military personnel in Guam

Brinker, Alyson; Blazes, David L.

doi:10.1186/s40794-017-0059-8

Cited by 11 publications

(7 citation statements)

References 10 publications

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“…The clinical course of a leptospirosis outbreak at the Hash House Harriers Club on Guam, Micronesia, in the western Pacific Ocean, has been reported. Patients declared multiple exposures to wet river banks, mud, and swamps [104].…”

Section: Resultsmentioning

confidence: 99%

Exotic Tourist Destinations and Transmission of Infections by Swimming Pools and Hot Springs—A Literature Review

Mavridou

Παππά

Papatzitze

et al. 2018

IJERPH

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A growing number of people undertake international travel, and yet faster growth of such travel is expected in the tropics. Information on the hazards presented by pool and hot spring waters in tropical countries is very limited. This review aims to collate available information on pool water quality, alongside data on cases and outbreaks associated with swimming in pools in tropical regions affecting both local populations and travellers. Bacteria species commonly causing cases and outbreaks in the tropics as well as elsewhere in the world were excluded, and the review focuses on studies related to pathogens that, with the exception of Cryptosporidium, are unusual in more temperate climates. Studies concerning subtropical countries were included in the light of climate change. Diseases transmitted by vectors breeding in poorly maintained, neglected or abandoned pools were also included. 83 studies dealing with Microsporidia, Leptospira spp., Schistosomas spp., Cryptosporidium spp., Acanthamoeba spp., Naegleria spp., Clostridium trachomatis, viruses, and vectors breeding in swimming pool and hot tub waters, and fulfilling predefined criteria, have been included in our survey of the literature. In conclusion, prevention strategies for pool safety in the tropics are imperative. Public health authorities need to provide guidance to westerners travelling to exotic destinations on how to protect their health in swimming pools.

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Section: Resultsmentioning

confidence: 99%

Exotic Tourist Destinations and Transmission of Infections by Swimming Pools and Hot Springs—A Literature Review

Mavridou

Παππά

Papatzitze

et al. 2018

IJERPH

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“…More recently, in 2014, 2016, and 2017 there were leptospirosis outbreaks among military personnel in Okinawa, Japan (81 confirmed cases), Hulu Perdik Forest, Malaysia (12 confirmed cases) and Mount Lam Lam, Guam (8 confirmed cases), respectively (Brinker and Blazes, 2017 ; Dierks et al, 2018 ; Neela et al, 2019 ). In the recent conflicts in Afghanistan and Iraq, there have been a limited number of leptospirosis cases reported due to difficulties in obtaining diagnostic testing for confirmation of the disease due to active conflict (Neela et al, 2019 ; Pappas et al, 2008 ).…”

Section: Discussionmentioning

confidence: 99%

A Single Clinical Case of Leptospirosis in a 70-Year-Old Man During the Military Conflict in Ukraine

Zubach,

Pestushko,

Dliaboha

et al. 2023

Vector-Borne and Zoonotic Diseases

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Leptospirosis is a bacterial disease that affects both humans and animals worldwide. Clinical symptoms of leptospirosis in humans range widely, from mild to severe illness, with symptoms that can include severe jaundice, acute renal failure, hemorrhagic pneumonia, and meningitis. We present a detailed clinical description of a 70-year-old man with leptospirosis. This case presented without the typical prodromal period for leptospirosis, thus making diagnosis more difficult. This isolated case occurred in the Lviv region during the ongoing military conflict between Russia and Ukraine where Ukrainian citizens have been forced to hide in premises that are not properly adapted for their long-term stay, which result in conditions that can potentially lead to the emergence of many infectious diseases. This case highlights the need for heightened awareness into the symptoms of a variety of infectious diseases, including but not limited to leptospirosis.

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“…The ongoing conflict in Ukraine has placed military personnel in a unique position, where they face heightened exposure to the elements that can facilitate leptospiral transmission ( Petakh & Kamyshnyi, 2023 ; Petakh et al, 2023b ). Frequent contact with water sources and potential reservoir hosts, such as rodents, elevates the risk of infection among these individuals ( Brinker and Blazes, 2017 ). Furthermore, military personnel operate under conditions that are often associated with elevated stress levels ( Bray et al, 2001 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring the complex interplay: gut microbiome, stress, and leptospirosis

Petakh,

Oksenych,

Kamyshna

et al. 2024

Front. Microbiol.

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Leptospirosis, a re-emerging zoonotic disease, remains a significant global health concern, especially amid floods and disasters such as the Kakhovka Dam destruction. As is known, the stress that occurs in the conditions of military conflicts among civilian and military personnel significantly affects susceptibility to infectious diseases and possibly even influences their course. This review aims to explore how the gut microbiome and stress mediators (such as catecholamines and corticosteroids) might impact the leptospirosis disease course. The review opens new horizons for research by elucidating the connections between the gut microbiome, stress, and leptospirosis.

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An outbreak of Leptospirosis among United States military personnel in Guam

Cited by 11 publications

References 10 publications

Exotic Tourist Destinations and Transmission of Infections by Swimming Pools and Hot Springs—A Literature Review

Exotic Tourist Destinations and Transmission of Infections by Swimming Pools and Hot Springs—A Literature Review

A Single Clinical Case of Leptospirosis in a 70-Year-Old Man During the Military Conflict in Ukraine

Exploring the complex interplay: gut microbiome, stress, and leptospirosis

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