A Case of Leptospirosis Caused by <I>Leptospira borgpetersenii</I> Serovar Sejroe Infected in Bali Island, Indonesia

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  • SAKAMOTO Mitsuo
    Division of Infection Control, The Jikei University School of Medicine
  • KATO Tetsuro
    Division of Infection Control, The Jikei University School of Medicine
  • SATO Fumiya
    Division of Infection Control, The Jikei University School of Medicine
  • YOSHIKAWA Koji
    Division of Infection Control, The Jikei University School of Medicine
  • YOSHIDA Masaki
    Division of Infection Control, The Jikei University School of Medicine
  • SHIBA Kohya
    Division of Infection Control, The Jikei University School of Medicine
  • ONODERA Shoichi
    Division of Infection Control, The Jikei University School of Medicine
  • HOSHINA Sadayori
    Department of Laboratory Medicine, The Jikei University School of Medicine
  • KOIZUMI Nobuo
    Department of Bacteriology, National Institute of Infectious Diseases
  • WATANABE Haruo
    Department of Bacteriology, National Institute of Infectious Diseases

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Other Title
  • インドネシア・バリ島で感染した<I>Leptospira borgpetersenii</I>血清型Sejroeによるレプトスピラ症の1例
  • 症例 インドネシア・バリ島で感染したLeptospira borgpetersenii血清型Sejroeによるレプトスピラ症の1例
  • ショウレイ インドネシア バリトウ デ カンセン シタ Leptospira borgpetersenii ケッセイガタ Sejroe ニ ヨル レプトスピラショウ ノ 1レイ
  • A Case of Leptospirosis Caused by Leptospira borgpetersenii Serovar Sejroe Infected in Bali Island, Indonesia

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Abstract

We report a patient with leptospirosis caused by Leptospira borgpetersenii serovar Sejroe infection on Bali Island, Indonesia. This 33-year-old Japanese man had stayed at a resort hotel on the island from July 8 to July 13 2004. At the hotel, he swam in the pool, walked barefoot, and lied down in the grass. He developed a high fever and headache 7 days after completing his trip, and was admitted to our hospital on July 23. On admission he showed conjunctival suffusion and complained of myalgias. Laboratory findings included granulocytosis and elevated CRP.Plasmodiumspp. were not found in blood smears, and no pathogenic bacteria were isolated from blood or fecal cultures. We diagnosed the patient as leptospirosis upon detection of slender coiled organisms with characteristic morphology by darkfield examination of blood sample. Minocycline 100 mg i. v. b. i. d. showed excellent efficacy. A microscopic agglutination test (MAT) during the convalescent stage demonstrated a significant increase in antibodies against L. borgpeterseniiserovar Sejroe, confirming the diagnosis of leptospirosis. Despite occurrence of a pandemic of leptospirosis in certain Southeast Asian countries including Indonesia, information concerning pandemic disease is limited. In addition serovars of “imported” cases representing infection in pandemic areas differ widely from those in domestic cases. Adequate laboratory support therefore is crucial for accurate diagnosis of leptospirosis.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 79 (4), 294-298, 2005

    The Japanese Association for Infectious Diseases

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