{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:32:48Z","timestamp":1787031168265,"version":"build-2736575974"},"reference-count":7,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,12,6]]},"abstract":"<jats:p>\n                    We report the case of a 46-year-old male abattoir worker who developed myalgias, shortness of breath, and irritability 2 weeks after sustaining a laceration to the hand with a knife at work. During his hospital evaluation for septic shock he was noted to be febrile, hypotensive, profoundly jaundiced with aseptic meningitis, and renal failure, and was diagnosed with\n                    <jats:italic>Leptospirosis interrogans<\/jats:italic>\n                    infection confirmed by serum and urine polymerase chain reaction. After standard antibiotic therapy and recovery from severe clinical illness, he developed unilateral orchitis with pyuria secondary to leptospirosis, a well-established complication in the veterinary literature, but of which we offer the first report in humans in the English literature. The case presented was also the index case that uncovered a cluster outbreak of leptospirosis in New York City during the winter of 2016\u20132017, involving a total of three patients who lived or worked within a block of the abattoir. Two patients survived whereas the third died of pulmonary hemorrhage shortly after seeking medical care.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.17-0545","type":"journal-article","created":{"date-parts":[[2017,10,3]],"date-time":"2017-10-03T03:00:48Z","timestamp":1506999648000},"page":"1679-1681","source":"Crossref","is-referenced-by-count":10,"title":["Case Report: A Cluster of Three Leptospirosis Cases in a New York City Abattoir and an Unusual Complication in the Index Case"],"prefix":"10.4269","volume":"97","author":[{"given":"Tania","family":"Kupferman","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases and Immunology, NYU School of Medicine, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan P.","family":"Coffee","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Immunology, NYU School of Medicine, New York, New York;"},{"name":"International Rescue Committee, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin J.","family":"Eckhardt","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Immunology, NYU School of Medicine, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Trans R Soc Trop Med Hyg","first-page":"743","article-title":"High dose corticosteroids in severe leptospirosis: a systematic review","volume":"108","author":"Rodrigo","year":"2014"},{"key":"b2","author":"Department of Health, NYC","year":"2017"},{"key":"b3","series-title":"Trans R Soc Trop Med Hyg","first-page":"294","article-title":"Atypical manifestations of leptospirosis","volume":"109","author":"Rajapakse","year":"2015"},{"key":"b4","series-title":"Schweiz Med Wochenschr","first-page":"810","article-title":"On a laboratory Leptospira ballum infection; orchitis as a complication","volume":"91","author":"Kappeler","year":"1961"},{"key":"b5","series-title":"BMJ","first-page":"231","article-title":"Leptospirosis","volume":"1","author":"Turner","year":"1969"},{"key":"b6","series-title":"Am J Vet Res","first-page":"1663","article-title":"Experimental Leptospira pomona infection in bulls","volume":"25","author":"Sleight","year":"1964"},{"key":"b7","series-title":"Cornell Vet","first-page":"412","article-title":"Experimental leptospirosis in rams","volume":"55","author":"Smith","year":"1965"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/97\/6\/article-p1679.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/97\/6\/article-p1679.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/97\/6\/article-p1679.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T12:53:14Z","timestamp":1722430394000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/97\/6\/article-p1679.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,6]]},"references-count":7,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.17-0545","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,6]]}}}