{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:55:02Z","timestamp":1787025302069,"version":"build-2736575974"},"reference-count":16,"publisher":"Scientific Scholar","content-domain":{"domain":["ijmr.org.in"],"crossmark-restriction":true},"short-container-title":["Indian J Med Res"],"DOI":"10.25259\/ijmr_1134_2025","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T17:40:32Z","timestamp":1765215632000},"page":"546-551","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Emergence of human leptospirosis in Meghalaya, India: Clinical evidence from a hilly non-endemic region"],"prefix":"10.25259","volume":"162","author":[{"given":"Deepak","family":"Rajan","sequence":"first","affiliation":[{"name":"Department of Public Health, Indian Institute of Public Health Shillong, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedicta","family":"Sthuti Kumar","sequence":"additional","affiliation":[{"name":"Department of Public Health, Indian Institute of Public Health Shillong, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meban","family":"Aibor Kharkongor","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Dr H Gordon Roberts Hospital, Shillong, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eman","family":"Chynnam Lyngdoh","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Dr H Gordon Roberts Hospital, Shillong, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Albert","sequence":"additional","affiliation":[{"name":"Department of Public Health, Indian Institute of Public Health Shillong, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"10.25259\/IJMR_1134_2025\/ref-1","first-page":"1140","article-title":"Leptospirosis","volume-title":"Harrison's Principles of Internal Medicine","author":"Hartskeerl","year":"2015","edition":"19th ed"},{"key":"10.25259\/IJMR_1134_2025\/ref-2","doi-asserted-by":"publisher","first-page":"e0003898","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":"10.25259\/IJMR_1134_2025\/ref-3","first-page":"81","article-title":"Infectious disease: leptospirosis","volume-title":"Davidson\u2019s Essentials of Medicine","author":"Innes","year":"2015","edition":"2nd ed"},{"key":"10.25259\/IJMR_1134_2025\/ref-5","doi-asserted-by":"publisher","first-page":"e0003843","DOI":"10.1371\/journal.pntd.0003843","article-title":"Environmental and behavioural determinants of leptospirosis transmission: a systematic review","volume":"9","author":"Mwachui","year":"2015","journal-title":"PLoS Negl Trop Dis"},{"key":"10.25259\/IJMR_1134_2025\/ref-6","doi-asserted-by":"publisher","first-page":"290","DOI":"10.53854\/liim-3103-4","article-title":"Leptospirosis in India: a systematic review and meta-analysis of clinical profile, treatment and outcomes","volume":"31","author":"Gupta","year":"2023","journal-title":"Infez Med"},{"key":"10.25259\/IJMR_1134_2025\/ref-7","author":"Directorate General of Health Services. Ministry of Health and Family Welfare, Government of India","year":"2023","journal-title":"Guidelines for intensive care unit admission and discharge criteria"},{"key":"10.25259\/IJMR_1134_2025\/ref-8","doi-asserted-by":"publisher","first-page":"1015","DOI":"10.1007\/s43538-024-00290-1","article-title":"GIS-based frequency ratio model for flood susceptibility zonation in the state of Meghalaya, Northeast India","volume":"90","author":"Barman","year":"2024","journal-title":"Proc Indian Natl Sci Acad"},{"key":"10.25259\/IJMR_1134_2025\/ref-9","doi-asserted-by":"publisher","first-page":"316","DOI":"10.4103\/ijcm.ijcm_316_22","article-title":"Clinico epidemiological study of human leptospirosis in hilly area of South India-A population based case control study","volume":"48","author":"Udayar","year":"2023","journal-title":"Indian J Community Med"},{"key":"10.25259\/IJMR_1134_2025\/ref-10","doi-asserted-by":"publisher","first-page":"168700","DOI":"10.1016\/j.scitotenv.2023.168700","article-title":"Rainfall-driven resuspension of pathogenic Leptospira in a leptospirosis hotspot","volume":"911","author":"Thibeaux","year":"2024","journal-title":"Sci Total Environ"},{"key":"10.25259\/IJMR_1134_2025\/ref-11","doi-asserted-by":"publisher","first-page":"e0227055","DOI":"10.1371\/journal.pone.0227055","article-title":"A systematic review of Leptospira in water and soil environments","volume":"15","author":"Bierque","year":"2020","journal-title":"PLoS One"},{"key":"10.25259\/IJMR_1134_2025\/ref-12","doi-asserted-by":"publisher","first-page":"7000","DOI":"10.1038\/s41598-019-42747-0","article-title":"Spatiotemporal dynamics and risk factors for human Leptospirosis in Brazil","volume":"9","author":"Baquero","year":"2019","journal-title":"Sci Rep"},{"key":"10.25259\/IJMR_1134_2025\/ref-13","first-page":"799","article-title":"Leptospirosis - Current Scenario in India","volume":"18","author":"Shivakumar","year":"2008","journal-title":"Med Update"},{"key":"10.25259\/IJMR_1134_2025\/ref-14","doi-asserted-by":"crossref","first-page":"22","DOI":"10.4236\/ojepi.2015.51004","article-title":"Spatial analysis of leptospira in rats, water and soil in Bantul district Yogyakarta Indonesia","volume":"5","author":"Sumanta","year":"2015","journal-title":"Open J Epidemiol"},{"key":"10.25259\/IJMR_1134_2025\/ref-16","doi-asserted-by":"publisher","first-page":"101698","DOI":"10.1016\/j.cimid.2021.101698","article-title":"Prevalence of leptospirosis among animal herds of north eastern provinces of India","volume":"79","author":"Saranya","year":"2021","journal-title":"Comp Immunol Microbiol Infect Dis"},{"key":"10.25259\/IJMR_1134_2025\/ref-17","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1007\/s10096-019-03797-4","article-title":"Leptospirosis: a neglected tropical zoonotic infection of public health importance-an updated review","volume":"39","author":"Karpagam","year":"2020","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"10.25259\/IJMR_1134_2025\/ref-18","author":"Department of Chemicals and Petrochemicals, Ministry of Chemicals and Fertilizers, Government of India","year":"2023","journal-title":"National Pharmaceutical Pricing Authority - Updated Price List. (2023)"}],"container-title":["The Indian Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/ijmr.org.in\/emergence-of-human-leptospirosis-in-meghalaya-india-clinical-evidence-from-a-hilly-non-endemic-region\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ijmr.org.in\/emergence-of-human-leptospirosis-in-meghalaya-india-clinical-evidence-from-a-hilly-non-endemic-region\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T17:40:34Z","timestamp":1765215634000},"score":1,"resource":{"primary":{"URL":"http:\/\/ijmr.org.in\/emergence-of-human-leptospirosis-in-meghalaya-india-clinical-evidence-from-a-hilly-non-endemic-region\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,8]]},"references-count":16,"alternative-id":["10.25259\/IJMR_1134_2025"],"URL":"https:\/\/doi.org\/10.25259\/ijmr_1134_2025","relation":{},"ISSN":["0971-5916"],"issn-type":[{"value":"0971-5916","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,8]]},"article-number":"546"}}