“…Similar to sepsis, human leptospirosis was reported to be associated with high plasma levels of inflammatory cytokines such as TNF-a, IL-6, IL-8, IL-1b and IL-12 (Matsui et al, 2011;Wang et al, 2012;Reis et al, 2013). Indeed, the production of inflammatory cytokines such as TNF-a by CD4+ T-cells after stimulation with antigens of Leptospira was highest in patients with severe disease (Volz et al, 2015).…”