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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e318173f6c2
Case Reports

Case Report of an Unexpected Combination of Tropical Microorganisms Causing Severe Illness

Bank, Ivan MD, PhD*; Jansen, Casper MD†; Postma, Bent MD, PhD‡; Geelhoed-Duijvestijn, Petronella H.L.M. MD, PhD*; Meijssen, Maarten A.C. MD, PhD§

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Abstract

A case of a traveler with an unusual combination of severe Leptospira autumnalis and Plesiomonas shigelloides infections is presented. The infections led to a clinical entity including fever, watery diarrhea, and respiratory failure. A thorough medical history and laboratory testing according to the array of most probable pathogens occurring in the visited country are of importance to avoid treatment delay in travelers. Furthermore, the possibility of multiple pathogens should always be considered in travelers.

© 2009 Lippincott Williams & Wilkins, Inc.