Abstract

We collected acute-phase serum samples from febrile patients at 2 major hospitals in Dhaka, Bangladesh, during an outbreak of dengue fever in 2001. A total of 18% of dengue-negative patients tested positive for leptospirosis. The case-fatality rate among leptospirosis patients (5%) was higher than among dengue fever patients (1.2%).

Highlights

  • We collected acute-phase serum samples from febrile patients at 2 major hospitals in Dhaka, Bangladesh, during an outbreak of dengue fever in 2001

  • Serum samples collected from a subset of patients during the first 5 days of illness were evaluated for dengue virus RNA by using reverse transcriptase–polymerase chain reaction (RTPCR), as described previously [6]

  • Serum samples from patients with no dengue infection shown by antibody or RT-PCR testing were retrospectively assessed for leptospirosis by using a real-time PCR that amplifies the LipL32 gene [7], a virulence factor that is conserved among pathogenic Leptospira strains [8]

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Summary

Introduction

We collected acute-phase serum samples from febrile patients at 2 major hospitals in Dhaka, Bangladesh, during an outbreak of dengue fever in 2001. An epidemic of dengue fever and dengue hemorrhagic fever began in Bangladesh in 2000 [4], and a surveillance system was established to identify patients with denguelike illness at 2 major hospitals in Dhaka. We hypothesized that leptospirosis might be a cause of illness among febrile patients who did not have dengue fever.

Results
Conclusion
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