{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:10:53Z","timestamp":1791461453967,"version":"4.3.4"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Leptospirosis<\/jats:italic>\n                      is a zoonosis prevalent worldwide and is endemic in many parts of India. In early leptospiremic as well as late immune phase of the disease kidney, liver, heart, and lungs are commonly involved. Neurological manifestations are rare but may occur during immune phase in the form of aseptic meningitis, meningoencephalitis, seizures, myelitis, polyradiculoneuritis, and myalgia. In this report, we describe a rare case of leptospirosis with combined involvement of nerve, muscle, and myoneural junction in generalized fashion along with pulmonary, renal, and hepatic dysfunction.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.103202","type":"journal-article","created":{"date-parts":[[2012,11,3]],"date-time":"2012-11-03T09:32:12Z","timestamp":1351935132000},"page":"514-516","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Combined involvement of muscle, nerve, and myoneural junction following Leptospira infection"],"prefix":"10.4103","volume":"60","author":[{"given":"Sunil","family":"Pradhan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruchika","family":"Tandon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janak","family":"Kishore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240802","first-page":"1","article-title":"Guidelines for the control of leptospirosis","volume":"67","author":"Faine","year":"1982","journal-title":"WHO Offset Publ"},{"key":"R2-12-20240802","first-page":"84","article-title":"MSAT - a screening test for leptospirosis","volume":"15","author":"Sumathi","year":"1997","journal-title":"Indian J Med Microbiol"},{"key":"R4-12-20240802","first-page":"247","article-title":"Re-emerging of infections in urban India--focus leptospirosis","volume":"51","author":"Kamath","year":"2003","journal-title":"J Assoc Physicians India"},{"key":"R5-12-20240802","first-page":"623","article-title":"Frequency of leptospirosis in patients of acute febrile illness in Uttar Pradesh","volume":"52","author":"Manocha","year":"2004","journal-title":"J Assoc Physicians India"},{"key":"R7-12-20240802","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1590\/S0004-282X1993000400006","article-title":"Involvement of the nervous system in leptospirosis. I. Evaluation of neurologic aspects","volume":"51","author":"Bezerra","year":"1993","journal-title":"Arq Neuropsiquiatr"},{"key":"R8-12-20240802","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1080\/00365540601034816","article-title":"Anti-ganglioside antibodies-mediated leptospiral meningomyeloencephalopolyneuritis","volume":"39","author":"Lepur","year":"2007","journal-title":"Scand J Infect Dis"},{"key":"R9-12-20240802","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1093\/infdis\/162.1.266","article-title":"Skeletal and cardiac muscle involvement in severe, late leptospirosis","volume":"162","author":"Watt","year":"1990","journal-title":"J Infect Dis"},{"key":"R10-12-20240802","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1136\/pgmj.66.773.218","article-title":"Leptospirosis presenting as a flaccid paraplegia","volume":"66","author":"Mumford","year":"1990","journal-title":"Postgrad Med J"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02223311-201260050-00012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:01:34Z","timestamp":1786647694000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02223311-201260050-00012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.103202","relation":{},"ISSN":["0028-3886"],"issn-type":[{"value":"0028-3886","type":"print"}],"subject":[],"published":{"date-parts":[[2012,9]]}}}