0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Sporadic Anicteric Leptospirosis in South Vietnam: A Study in 150 Patients

STEVEN J. BERMAN, M.D.; CHE-CHUNG TSAI, D.V.M.; KING HOLMES, M.D., Ph.D.; JAMES W. FRESH, M.D.; and RAYMOND H. WATTEN, M.D.
[+] Article and Author Information

▸Requests for reprints should be addressed to Publications Department, NAMRU-2, Box 14, APO San Francisco, CA 96263.


Ann Intern Med. 1973;79(2):167-173. doi:10.7326/0003-4819-79-2-167
Text Size: A A A

Leptospiral infections were a common cause of acute fever among American servicemen in Vietnam. In 150 men the clinical illness was characterized by the abrupt onset of fever, chills, and headache; myalgias and gastrointestinal complaints were common. The most characteristic physical findings were muscle tenderness (42%) and conjunctivitis (42%). Aseptic meningitis occurred in nine patents. Oliguria and azotemia of renal origin occurred in seven patients, but none required dialysis. Only two patients became jaundiced; however, some liver function tests were abnormal in 40% of the patients. There were no deaths. The clinical diagnosis depended on recognizing the syndrome of muscle tenderness, conjunctivitis, and gastroenteritis in a febrile patient from an endemic area. One third of the patients had no abnormal findings other than fever, and the leptospiral infection would not have been detected without serological surveillance of febrile patients from endemic areas.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)