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Mary Sushi, K., Sivasangeeth, K., Suresh Kumar, A., Pandi, S., et al. (2014) Seroprevalence of Leptospirosis, Enteric Fever and Dengue in Acute Febrile Illness in Tamil Nadu, India. Indian Journal of Basic and Applied Medical Research, 3, 615-623.

has been cited by the following article:

  • TITLE: Double Trouble in a Tropical Paradise

    AUTHORS: Adelyn Henry, Ganesh Kasinathan

    KEYWORDS: Typhoid Fever, Leptospirosis, Antibiotics, Waterfall, Septic Shock

    JOURNAL NAME: Open Access Library Journal, Vol.5 No.1, January 29, 2018

    ABSTRACT: Introduction: Leptospirosis and typhoid fever are water borne diseases. These diseases present as acute undifferentiated fever and often can be challenging to clinicians in the developing world due to limited resources. Case Presentation: A 15-year-old Malay girl presented a week after swimming in a waterfall with fever, vomiting and lethargy. Her condition deteriorated into septic shock and respiratory distress requiring mechanical ventilation. Her blood, urine and stool cultures grew pure isolates of Salmonella typhi. The leptospira serology was positive and the leptospira microscopic agglutination test revealed a high titre of 1:400. She was diagnosed with dual infections of leptospirosis and typhoid fever. With third generation cephalosporin antibiotics, she improved. There was clearance of her blood, urine and stool cultures. Her leptospira microscopic agglutination test demonstrated a fourfold reduction in titre. Conclusion: Not only do these illnesses prove challenging to physicians to diagnose and treat due to their similarity in initial presentation, they are also life threatening to the unknowing tourist or locals who went for an innocent dip in a picturesque waterfall.