{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T07:28:10Z","timestamp":1774682890722,"version":"3.50.1"},"reference-count":0,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Infection with <jats:italic>Leptospira<\/jats:italic> spp. is common in R\u00e9union, a tropical island in the Indian Ocean. However, respiratory coinfections between strains of <jats:italic>Leptospira<\/jats:italic> spp. and other microorganisms are rarely described. Here, we describe the first reported case of coinfection between <jats:italic>Leptospira<\/jats:italic> spp. and <jats:italic>Chlamydia pneumoniae<\/jats:italic>, responsible for refractory acute respiratory distress syndrome requiring extracorporeal membrane oxygenation with a favorable outcome. In a case of leptospirosis with severe respiratory illness, testing for respiratory coinfection, especially with atypical pathogens, could explain the seriousness of the clinical condition and lead to specific treatment.<\/jats:p>","DOI":"10.4269\/ajtmh.20-1186","type":"journal-article","created":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T07:02:22Z","timestamp":1609830142000},"page":"866-867","source":"Crossref","is-referenced-by-count":4,"title":["Case Report: Refractory Acute Respiratory Distress Syndrome Supported by Extracorporeal Membrane Oxygenation due to Coinfection with Chlamydia pneumoniae and Leptospirosis in Reunion Island"],"prefix":"10.4269","volume":"104","author":[{"given":"Arnaud","family":"Lecadieu","sequence":"first","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Veyret","sequence":"additional","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romain","family":"Persichini","sequence":"additional","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucie","family":"Duarte","sequence":"additional","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margot","family":"Caron","sequence":"additional","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Vidal","sequence":"additional","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elora","family":"Bordet","sequence":"additional","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Traversier","sequence":"additional","affiliation":[{"name":"2Service de Microbiologie, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4me","family":"Allyn","sequence":"additional","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Allou","sequence":"additional","affiliation":[{"name":"1R\u00e9animation Polyvalente, Centre Hospitalier Universitaire F\u00e9lix Guyon, Saint Denis, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/104\/3\/article-p866.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/104\/3\/article-p866.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T17:28:59Z","timestamp":1614792539000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/104\/3\/article-p866.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,3]]},"references-count":0,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.20-1186","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,3]]}}}