# name
Leptospirosis in Spanish travelers returning from Chiang Mai: A
                case series

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BACKGROUND: Leptospirosis is an important zoonosis worldwide,
                nevertheless is often poor recognized in non tropical settings.
                In Thailand is becoming an emerging disease and Chiang Mai could
                become a popular spot to acquire the disease amongst travelers.
                METHODS: We describe three cases of imported leptospirosis
                undifferentiated fever after travelling to Thailand during the
                summer of 2015 diagnosed at two Spanish hospitals. RESULTS: Our
                three patients probably acquired leptospirosis while swimming in
                freshwater around Chiang Mai, a Thailand's northern region with
                moderate incidence of leptopirosis. Travelers had normal white
                blood cell counts and low platelets, suggesting leptospirosis
                after ruling out other imported diseases such as malaria, dengue
                or typhoid. CONCLUSION: As recent findings point out, low
                platelets and normal white blood cell counts are clinical
                features that could help the clinician to suspect Leptospirosis
                infection. It should be always considered as a cause of fever,
                particularly if travelers come from a tropical country and have
                had contact with water or flooding, especially during rainy
                season.

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Versió postprint del document publicat a:
                http://dx.doi.org/10.1016/j.tmaid.2018.02.013

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Travel Medicine and Infectious Disease, 2018

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Leptospirosis in Spanish travelers returning from Chiang Mai: A
                case series