{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:39:48Z","timestamp":1777937988221,"version":"3.51.4"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"773","license":[{"start":{"date-parts":[[1990,3,1]],"date-time":"1990-03-01T00:00:00Z","timestamp":636249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,3,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>A fatal case of leptospirosis in a 64 year old farm worker is described. The dramatic neurological presentation with a rapidly evolving flaccid paraplegia associated with biochemical evidence of renal and hepatic dysfunction is discussed. Attention is drawn to the wide range of neurological symptoms reported in leptospirosis, and to the possibility that this infectious disease may present neurologically.<\/jats:p>","DOI":"10.1136\/pgmj.66.773.218","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:01:03Z","timestamp":1230584463000},"page":"218-220","source":"Crossref","is-referenced-by-count":22,"title":["Leptospirosis presenting as a flaccid paraplegia"],"prefix":"10.1093","volume":"66","author":[{"given":"C","family":"Mumford","sequence":"first","affiliation":[{"name":"Department of Neurology, University Hospital, Queen's Medical Centre , Nottingham NG7 2UH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Dudley","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine, City Hospital , Hucknall Road, Nottingham NG5 1PB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Terry","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital, Queen's Medical Centre , Nottingham NG7 2UH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,3,1]]},"reference":[{"key":"ref_1","first-page":"63","article-title":"Spirochaetal infections of the nervous system, leptospirosis","volume-title":"Butterworths International Medical Reviews, Neurology; 8); Infections ofthe Nervous System","author":"Reik, Jr, L.","year":"1987","unstructured":"Reik, L. Jr. Spirochaetal infections of the nervous system, leptospirosis. In: Kennedy, P.G.E. & Johnson, R.T. (eds) Infections ofthe Nervous System. Butterworths, London, 1987, pp 63-68. (Marsden, C.D. & Asbury, A.K. (eds) Butterworths International Medical Reviews, Neurology; 8)"},{"key":"ref_2","first-page":"117","article-title":"Nervous complications of Weil's disease","volume":"i:","author":"Mortensen, V.","unstructured":"Mortensen, V. Nervous complications of Weil's disease. Lancet 1940, i: 117-119.","journal-title":"Lancet 1940"},{"issue":"74","key":"ref_3","first-page":"567","article-title":"Ascending polyneuropathy in leptospirosis - a case study","volume":"1980","author":"Morgan, A.G.; Cawich, F.","unstructured":"Morgan, A.G. & Cawich, F. Ascending polyneuropathy in leptospirosis - a case study. Ann Trop Med Parasitol 1980,74: 567-568.","journal-title":"Ann Trop Med Parasitol"},{"key":"ref_4","first-page":"395","article-title":"Leptospirosis and relapsing fever","volume":"33","author":"Gsell, O.","year":"1978","unstructured":"Gsell, O. Leptospirosis and relapsing fever. In: Vinken, P.J. & Bruyn, G.W. (eds) Handbook of Clinical Neurology, vol. 33. Elsevier, New York, 1978, pp. 395-419.","journal-title":"Clinical Neurology; Handbook of"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1056\/NEJM196510142731606","article-title":"Leptospirosis in the United States: analysis of 483 cases in man, 1949-1961","volume":"273","author":"Heath, C.W.; Alexander, A.D.; Galton, M.M.","year":"1965","unstructured":"Heath, C.W., Alexander, A.D. & Galton, M.M. Leptospirosis in the United States: analysis of 483 cases in man, 1949-1961. N Engl J Med 1965, 273: 857-864, 915-922.","journal-title":"N Engl J Med"},{"key":"ref_6","first-page":"652","article-title":"(eds) Harrison's Principles ofInternal Medicine, I","author":"Sanford, J.P.Leptospirosis In; Braunwald, E.; Isselbacher, K.J.; Petersdorf, R.G.; Wilson, J.D.; Martin, J.B.; Fauci, A.S.","year":"1987","unstructured":"Sanford, J.P. Leptospirosis. In: Braunwald, E., Isselbacher, K.J., Petersdorf, R.G., Wilson, J.D., Martin, J.B. & Fauci, A.S. (eds) Harrison's Principles ofInternal Medicine, I 1th ed. McGraw-Hill, New York, 1987, pp. 652-655.","edition":"1th ed"},{"issue":"297","key":"ref_7","first-page":"1425","article-title":"Rats on increase: hazards to health","volume":"1988","author":"Galbraith, N.S.","unstructured":"Galbraith, N.S. Rats on increase: hazards to health. Br MedJ 1988, 297: 1425.","journal-title":"Br MedJ"},{"key":"ref_8","article-title":"Water programme \"will leave rats' disease unchecked\"","volume-title":"The Independent","author":"Connolly, J.","year":"1988","unstructured":"Connolly, J. Water programme \"will leave rats' disease unchecked\". The Independent 1988, December 9: 5 (col 1-3)."}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/66\/773\/218\/50076997\/postgradmedj-66-218.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/66\/773\/218\/50076997\/postgradmedj-66-218.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T15:08:58Z","timestamp":1682694538000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/66\/773\/218\/7062040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,3,1]]},"references-count":8,"journal-issue":{"issue":"773","published-online":{"date-parts":[[1990,3,1]]},"published-print":{"date-parts":[[1990,3,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.66.773.218","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1990,3]]},"published":{"date-parts":[[1990,3,1]]}}}