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.
From the Departments of *Internal Medicine and †Microbiology, Haaglanden Medical Centre, Westeinde, The Hague; ‡Department of Medical Microbiology, Gelderse Vallei Hospital, Ede, and §Department of Gastroenterology, Haaglanden Medical Centre, Westeinde, The Hague, The Netherlands.
Reprints: Ivan Bank, MD, PhD, Haaglanden Medical Centre, Westeinde, Department of Internal Medicine, Lijnbaan 32, 2501 CK The Hague, The Netherlands. E-mail: I.Bank@lumc.nl.