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Moure Z, Las Revillas FAD, Cantón E, Lara I, Armiñanzas C, Calvo-Montes J. Weil disease in a traveller visiting friends and relatives returning from Cuba to Spain. Travel Med Infect Dis 2023; 54:102621. [PMID: 37487947 DOI: 10.1016/j.tmaid.2023.102621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 07/13/2023] [Accepted: 07/17/2023] [Indexed: 07/26/2023]
Affiliation(s)
- Zaira Moure
- Servicio de Microbiología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.
| | - Francisco Arnáiz-de Las Revillas
- Servicio de Enfermedades Infecciosas, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Spain
| | - Elena Cantón
- Servicio de Microbiología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain
| | - Isabel Lara
- Servicio de Microbiología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain
| | - Carlos Armiñanzas
- Servicio de Enfermedades Infecciosas, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain
| | - Jorge Calvo-Montes
- Servicio de Microbiología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Spain
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Lucas A, Chamorro-Tojeiro S, Llenas-García J, Salvador F, Zubero Z, Molina I, Goikoetxea J, López-Vélez R, Pérez-Molina JA. Imported leptospirosis in travellers and migrants in Spain: a study of the +REDIVI collaborative network. J Travel Med 2021; 28:6310000. [PMID: 34179994 DOI: 10.1093/jtm/taab095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 06/13/2021] [Accepted: 06/14/2021] [Indexed: 11/13/2022]
Affiliation(s)
- Ana Lucas
- Internal Medicine Department, Hospital Vega Baja-FISABIO Orihuela, Alicante, Spain
| | - Sandra Chamorro-Tojeiro
- National Referral Center for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRYCIS, Madrid, Spain
| | - Jara Llenas-García
- Internal Medicine Department, Hospital Vega Baja-FISABIO Orihuela, Alicante, Spain.,Clinical Medicine Department, University Miguel Hernández de Elche, Elche, Spain
| | - Fernando Salvador
- Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Barcelona Spain
| | - Zuriñe Zubero
- Infectious Diseases Department, Hospital de Basurto, Bilbao Spain
| | - Israel Molina
- Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Barcelona Spain
| | - Josune Goikoetxea
- Infectious Diseases Department, Hospital Universitario Cruces, Barakaldo, Vizcaya, Spain
| | - Rogelio López-Vélez
- National Referral Center for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRYCIS, Madrid, Spain
| | - José A Pérez-Molina
- National Referral Center for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRYCIS, Madrid, Spain
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Gentile G, Tong C, Renaud C, Menoud N, Casanova L, Blatteau JE, Christen JR, Texier G, Mayet A, Simon F. Incidence of leptospirosis in the French armed forces from 2004 to 2018: Retrospective analysis. Travel Med Infect Dis 2020; 39:101951. [PMID: 33333213 DOI: 10.1016/j.tmaid.2020.101951] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 12/05/2020] [Accepted: 12/07/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND The French military personnel may be exposed to leptospirosis during their training or on duty on the field in continental France, and most of all, in intertropical areas in the French departments and in Africa. The aim of this study was to assess the incidence of leptospirosis from epidemiological surveillance and cases data from 2004 to 2018, and to propose tools to assess leptospirosis risk prior to any mission or leisure activity. METHOD A retrospective epidemiological study on leptospirosis cases among French Armed Forces was conducted. More data were collected for 2 clusters in Martinique, as most of leptospirosis cases among French military personnel were identified in Martinique. RESULTS Eighty-eight cases of leptospirosis were reported, 15 cases in continental France and 73 cases in overseas (including 42 cases in the French West Indies). The global leptospirosis incidence rate in continental France was 0.3/100,000 person-years and in overseas 24/100,000 person-years with the higher incidence rate in Martinique (99/100,000 person-years) and in Mayotte (36.9/100,000 person-years). For the clusters in Martinique, between January and June 2009, 7 cases were declared; between 2016 and 2018, 16 cases were reported, high proportions of severe cardiac, renal and neurological forms (6/16) and hospitalizations (9/16). CONCLUSION The occupational risk is real in French Armed Forces, particularly in malaria-free intertropical areas where chemoprophylaxis by doxycycline is not applied. Prevention can be optimized by the use of practical tools such as tables and cartographies, leading to a better leptospirosis risk assessment and application of preventive recommendations.
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Affiliation(s)
- Gaetan Gentile
- Aix-Marseille Université, Département Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, 13885, Marseille, France; Aix-Marseille Université, Institut des Neurosciences des Systèmes, INSERM UMR 1106, France; Comité Pédagogique, Pôle Formation-enseignement-recherche, Laveran Military Teaching Hospital, Marseille, France.
| | - Christelle Tong
- Centre D'épidémiologie et de Santé Publique des Armées. GSBDD Marseille Aubagne, 111 Avenue de La Corse BP40026, 13568, Marseille Cedex 02, France.
| | - Christophe Renaud
- Centre Médical des Armées de Toulon, Antenne de L'école de Plongée de Saint-Mandrier, France.
| | - Nastasia Menoud
- Aix-Marseille Université, Département Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, 13885, Marseille, France.
| | - Ludovic Casanova
- Aix-Marseille Université, Département Universitaire de Médecine Générale, Faculté des Sciences Médicales et Paramédicales, 13885, Marseille, France; Aix-Marseille Université, VITROME-IHU Méditerranée & ORS PACA (Observatoire Régional de La Santé), France.
| | - Jean-Eric Blatteau
- Service de Médecine Hyperbare et D'Expertise Plongée, HIA Sainte-Anne, Toulon, France.
| | - Jacques-Robert Christen
- Department of Infectious Diseases and Tropical Medicine, Laveran Military Teaching Hospital, Marseille, France.
| | - Gaetan Texier
- Centre D'épidémiologie et de Santé Publique des Armées. GSBDD Marseille Aubagne, 111 Avenue de La Corse BP40026, 13568, Marseille Cedex 02, France; Aix-Marseille Université, VITROME-IHU Méditerranée & ORS PACA (Observatoire Régional de La Santé), France; École Du Val de Grâce, Paris, France.
| | - Aurelie Mayet
- Centre D'épidémiologie et de Santé Publique des Armées. GSBDD Marseille Aubagne, 111 Avenue de La Corse BP40026, 13568, Marseille Cedex 02, France; École Du Val de Grâce, Paris, France; Aix-Marseille Université, INSERM, IRD, SESSTIM UMR1252, Marseille, France.
| | - Fabrice Simon
- Comité Pédagogique, Pôle Formation-enseignement-recherche, Laveran Military Teaching Hospital, Marseille, France; Department of Infectious Diseases and Tropical Medicine, Laveran Military Teaching Hospital, Marseille, France; École Du Val de Grâce, Paris, France.
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