{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:43:52Z","timestamp":1791251032745,"version":"4.1.0"},"reference-count":22,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"unspecified","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,7,24]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Leptospirosis is a widespread zoonosis in tropical regions and it is not frequently recognised in developed countries. We report a case of leptospirosis transmitted from a pet dog. A middle-aged woman was referred to our emergency department with a 7-day history of fever and diarrhoea. She presented with hypotension, tachycardia, grasping pain in the entire muscle and petechiae. A detailed medical interview revealed that her pet dog had been to the veterinarian 1\u2009month earlier with similar symptoms. We treated her with intravenous antibiotics. The patient\u2019s diagnosis of leptospirosis was confirmed by serological testing and the detection of DNA in her urine. We contacted the veterinarian and shared the information. We found that the dog had suffered from leptospirosis based on serological testing. We emphasise the possibility of leptospirosis being transmitted from pet dogs. Persistent suspicion of leptospirosis will contribute to its diagnosis and improved public health.<\/jats:p>","DOI":"10.1136\/bcr-2024-261369","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T02:08:25Z","timestamp":1722910105000},"page":"e261369","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Leptospirosis transmitted from a pet dog"],"prefix":"10.1136","volume":"17","author":[{"given":"Haruki","family":"Nakashiro","sequence":"first","affiliation":[{"name":"Emergency, Ehime Prefectural Central Hospital, Matsuyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensuke","family":"Umakoshi","sequence":"additional","affiliation":[{"name":"Emergency, Ehime Prefectural Central Hospital, Matsuyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Emergency, Ehime Prefectural Central Hospital, Matsuyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoto","family":"Tachibana","sequence":"additional","affiliation":[{"name":"Emergency, Ehime Prefectural Central Hospital, Matsuyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,8,5]]},"reference":[{"key":"2025082804023797000_17.8.e261369.1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.7861\/clinmed.2021-0784","article-title":"Leptospirosis: clinical aspects","volume":"22","author":"Rajapakse","year":"2022","journal-title":"Clin Med (Northfield)"},{"key":"2025082804023797000_17.8.e261369.2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-45059-8_5"},{"key":"2025082804023797000_17.8.e261369.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2010.0654.x"},{"key":"2025082804023797000_17.8.e261369.4","doi-asserted-by":"publisher","DOI":"10.1007\/S10096-019-03797-4\/TABLES\/1"},{"key":"2025082804023797000_17.8.e261369.5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0003898","article-title":"Global morbidity and mortality of leptospirosis: a systematic review","volume":"9","author":"Costa","year":"2015","journal-title":"PLoS Negl Trop Dis"},{"key":"2025082804023797000_17.8.e261369.6","doi-asserted-by":"crossref","DOI":"10.3390\/pathogens10020145","article-title":"Leptospiral infection, pathogenesis and its diagnosis\u2014a review","volume":"10","author":"Samrot","year":"2021","journal-title":"Pathogens"},{"key":"2025082804023797000_17.8.e261369.7","doi-asserted-by":"crossref","DOI":"10.3390\/pathogens12091167","article-title":"Leptospirosis and the environment: a review and future directions","volume":"12","author":"Bradley","year":"2023","journal-title":"Pathogens"},{"key":"2025082804023797000_17.8.e261369.8","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.071097"},{"key":"2025082804023797000_17.8.e261369.9","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/j.jiac.2013.10.012","article-title":"Leptospirosis in a Japanese urban area: a case report and literature review","volume":"20","author":"Shimizu","year":"2014","journal-title":"J Infect Chemother"},{"key":"2025082804023797000_17.8.e261369.10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-230075","article-title":"Leptospirosis manifested with severe pulmonary haemorrhagic syndrome successfully treated with venovenous extracorporeal membrane oxygenation","volume":"13","author":"Chaikajornwat","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082804023797000_17.8.e261369.11","doi-asserted-by":"crossref","unstructured":"Jacob J , Lorber B . 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